Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,378.42 / $7,121.53 / $7,121.53	Professional		$4,378.42	$7,121.53	$7,121.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10,183.79 / $10,183.79 / $10,183.79	Facility		$10,183.79	$10,183.79	$10,183.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.59 / $1,222.59 / $1,746.58	Professional		$1,222.59	$1,222.59	$1,746.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.85 / $1,252.85 / $1,252.85	Professional		$1,252.85	$1,252.85	$1,252.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,183.79 / $10,183.79 / $10,183.79	Facility		$10,183.79	$10,183.79	$10,183.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,222.59 / $1,554.20 / $4,483.93	Professional		$1,222.59	$1,554.20	$4,483.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $7,912.82 / $10,641.15	Professional		$5,275.21	$7,912.82	$10,641.15