Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.56 / $5,109.01 / $5,109.01	Professional		$903.56	$5,109.01	$5,109.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.91 / $1,449.91 / $3,063.96	Professional		$1,449.91	$1,449.91	$3,063.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,119.68 / $1,343.06 / $7,305.88	Facility		$1,119.68	$1,343.06	$7,305.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,218.98 / $2,662.77 / $6,442.01	Professional		$2,218.98	$2,662.77	$6,442.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,308.75 / $3,704.40 / $5,021.52	Professional		$3,308.75	$3,704.40	$5,021.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,343.06 / $1,343.06 / $7,305.88	Facility		$1,343.06	$1,343.06	$7,305.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $4,341.14 / $5,971.50	Professional		$1,079.00	$4,341.14	$5,971.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.51 / $2,451.17 / $6,407.00	Professional		$1,213.51	$2,451.17	$6,407.00