Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $18,197.01 / $30,902.95	Facility		$3,715.35	$18,197.01	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $8,317.64	Professional		$2,041.74	$2,454.71	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $12,022.64	Facility		$2,511.89	$2,511.89	$12,022.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $8,128.31	Professional		$2,511.89	$2,511.89	$8,128.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,332.54 / $10,000.00	Facility		$2,511.89	$9,332.54	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,918.31 / $12,022.64	Facility		$1,995.26	$6,918.31	$12,022.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,011.87 / $7,585.78	Professional		$1,513.56	$5,011.87	$7,585.78