Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,670.83 / $6,700.61 / $23,689.00	Facility		$3,670.83	$6,700.61	$23,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.82 / $3,660.82 / $7,338.83	Professional		$3,660.82	$3,660.82	$7,338.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9,737.08 / $9,737.08 / $9,737.08	Facility		$9,737.08	$9,737.08	$9,737.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $11,787.87	Professional		$3,660.83	$3,660.83	$11,787.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,358.56 / $6,156.95 / $9,675.20	Facility		$5,358.56	$6,156.95	$9,675.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,203.10 / $8,589.48 / $14,172.64	Facility		$5,203.10	$8,589.48	$14,172.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,971.66	Professional		$3,660.83	$3,660.83	$3,971.66
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $5,491.25 / $7,384.63	Professional		$3,660.83	$5,491.25	$7,384.63