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 $6,237.65 / $6,696.46 / $6,696.46	Professional		$6,237.65	$6,696.46	$6,696.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.80 / $1,330.80 / $3,839.93	Professional		$1,330.80	$1,330.80	$3,839.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.22 / $1,791.02 / $9,575.94	Facility		$1,472.22	$1,791.02	$9,575.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.93 / $3,509.91 / $8,347.28	Professional		$2,924.93	$3,509.91	$8,347.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,066.25 / $4,922.10 / $6,619.11	Professional		$4,066.25	$4,922.10	$6,619.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,791.02 / $1,791.02 / $9,575.94	Facility		$1,791.02	$1,791.02	$9,575.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.00 / $5,029.20 / $7,301.25	Professional		$1,277.00	$5,029.20	$7,301.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.19 / $3,071.94 / $9,302.33	Professional		$1,295.19	$3,071.94	$9,302.33