Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $32,359.37 / $32,359.37	Facility		$1,174.90	$32,359.37	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $9,120.11	Professional		$4,897.79	$4,897.79	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $15,848.93	Professional		$4,897.79	$4,897.79	$15,848.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $4,897.79	Facility		$1,584.89	$2,511.89	$4,897.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $13,182.57	Facility		$9,120.11	$9,120.11	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,348.96 / $5,370.32	Professional		$60.26	$1,348.96	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $10,000.00	Professional		$4,897.79	$7,413.10	$10,000.00