Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,480.25 / $13,413.92 / $20,143.00	Facility		$3,480.25	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,825.96 / $5,825.96 / $7,137.33	Professional		$5,825.96	$5,825.96	$7,137.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,831.48 / $3,831.48 / $3,831.48	Professional		$3,831.48	$3,831.48	$3,831.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,438.55 / $5,825.96 / $8,331.12	Facility		$1,438.55	$5,825.96	$8,331.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,983.98 / $7,749.00 / $9,486.23	Professional		$2,983.98	$7,749.00	$9,486.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,612.50 / $5,350.50 / $7,464.60	Professional		$4,612.50	$5,350.50	$7,464.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,438.55 / $5,825.96 / $8,331.12	Facility		$1,438.55	$5,825.96	$8,331.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,628.30 / $5,133.00 / $7,644.44	Professional		$1,628.30	$5,133.00	$7,644.44
United Facility/Professional Professional Modifier Low / Median / High Price $3,037.16 / $3,065.18 / $4,624.14	Professional		$3,037.16	$3,065.18	$4,624.14