Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,811.19 / $13,413.92 / $20,143.00	Facility		$2,811.19	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,531.37 / $2,531.37 / $5,578.70	Professional		$2,531.37	$2,531.37	$5,578.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,377.71 / $2,377.71 / $3,633.19	Professional		$2,377.71	$2,377.71	$3,633.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.38 / $2,531.37 / $3,619.86	Facility		$1,310.38	$2,531.37	$3,619.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,610.38 / $3,615.36 / $8,591.64	Professional		$2,610.38	$3,615.36	$8,591.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,035.00 / $4,680.60 / $6,304.00	Professional		$4,035.00	$4,680.60	$6,304.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.38 / $2,531.37 / $3,619.86	Facility		$1,310.38	$2,531.37	$3,619.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,501.95 / $4,719.00 / $7,218.32	Professional		$1,501.95	$4,719.00	$7,218.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,906.56 / $2,918.34 / $5,256.82	Professional		$2,906.56	$2,918.34	$5,256.82