Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,879.34 / $13,413.92 / $20,143.00	Facility		$2,879.34	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,820.03 / $4,820.03 / $6,196.10	Professional		$4,820.03	$4,820.03	$6,196.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,272.86 / $3,272.86 / $3,272.86	Professional		$3,272.86	$3,272.86	$3,272.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.40 / $4,820.03 / $6,892.64	Facility		$1,195.40	$4,820.03	$6,892.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.73 / $6,237.00 / $7,896.98	Professional		$2,401.73	$6,237.00	$7,896.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,712.50 / $4,306.50 / $6,322.80	Professional		$3,712.50	$4,306.50	$6,322.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.40 / $4,820.03 / $6,892.64	Facility		$1,195.40	$4,820.03	$6,892.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,363.25 / $4,270.50 / $6,400.10	Professional		$1,363.25	$4,270.50	$6,400.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,565.55 / $2,636.64 / $3,949.95	Professional		$2,565.55	$2,636.64	$3,949.95