Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,611.68 / $21,503.50 / $36,535.10	Facility		$4,611.68	$21,503.50	$36,535.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,438.60 / $10,438.60 / $20,035.90	Professional		$10,438.60	$10,438.60	$20,035.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,607.95 / $8,607.95 / $8,607.95	Facility		$8,607.95	$8,607.95	$8,607.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14,927.20 / $14,927.20 / $14,927.20	Facility		$14,927.20	$14,927.20	$14,927.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $10,033.52	Professional		$3,116.00	$3,116.00	$10,033.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,906.00 / $11,529.20 / $12,464.00	Facility		$10,906.00	$11,529.20	$12,464.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,804.40 / $7,011.00 / $7,011.00	Professional		$2,804.40	$7,011.00	$7,011.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,607.95 / $11,529.20 / $14,927.20	Facility		$8,607.95	$11,529.20	$14,927.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,804.40 / $8,569.00 / $8,569.00	Professional		$2,804.40	$8,569.00	$8,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,125.73 / $6,232.00 / $9,401.62	Professional		$3,125.73	$6,232.00	$9,401.62