Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $4,897.79	Professional		$3,019.95	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,079.46 / $16,982.44	Facility		$4,897.79	$7,079.46	$16,982.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,621.81 / $4,897.79	Professional		$60.26	$1,621.81	$4,897.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $7,943.28	Facility		$2,884.03	$5,128.61	$7,943.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $7,079.46	Facility		$4,897.79	$4,897.79	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,122.02 / $3,090.30	Professional		$60.26	$1,122.02	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $6,025.60	Professional		$3,019.95	$4,570.88	$6,025.60