Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $11,481.54	Professional		$6,165.95	$6,165.95	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,413.10	Facility		$6,165.95	$6,165.95	$7,413.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $19,952.62	Professional		$6,165.95	$6,165.95	$19,952.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,964.78 / $16,982.44	Facility		$6,165.95	$10,964.78	$16,982.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $16,595.87	Facility		$11,481.54	$11,481.54	$16,595.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $6,165.95 / $6,760.83	Professional		$60.26	$6,165.95	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $9,332.54 / $12,589.25	Professional		$1,148.15	$9,332.54	$12,589.25