Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.80 / $8,005.16 / $13,601.00	Facility		$1,716.80	$8,005.16	$13,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,886.00 / $3,886.00 / $3,886.00	Professional		$3,886.00	$3,886.00	$3,886.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,309.31 / $3,309.31 / $3,309.31	Facility		$3,309.31	$3,309.31	$3,309.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,556.98 / $5,556.98 / $5,556.98	Facility		$5,556.98	$5,556.98	$5,556.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $3,593.82 / $5,390.73	Professional		$1,197.94	$3,593.82	$5,390.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,432.38 / $4,432.38 / $4,791.76	Facility		$4,432.38	$4,432.38	$4,791.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $2,610.00 / $2,610.00	Professional		$1,044.00	$2,610.00	$2,610.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,309.31 / $4,466.00 / $5,556.98	Facility		$3,309.31	$4,466.00	$5,556.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,190.00 / $3,190.00 / $3,190.00	Professional		$3,190.00	$3,190.00	$3,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $2,320.00 / $3,499.96	Professional		$1,160.00	$2,320.00	$3,499.96