Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.87 / $3,427.09 / $12,116.00	Facility		$2,304.87	$3,427.09	$12,116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.74 / $3,401.41 / $7,974.62	Professional		$1,879.74	$3,401.41	$7,974.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,864.02 / $4,864.02 / $4,864.02	Facility		$4,864.02	$4,864.02	$4,864.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $5,888.48	Professional		$1,828.72	$1,828.72	$5,888.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,686.26 / $5,372.64 / $8,442.71	Facility		$2,686.26	$5,372.64	$8,442.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,859.09 / $5,372.64 / $12,664.08	Facility		$2,859.09	$5,372.64	$12,664.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,983.98	Professional		$1,828.71	$1,828.71	$1,983.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $2,743.08 / $3,688.89	Professional		$1,828.72	$2,743.08	$3,688.89