Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,845.13 / $4,845.13 / $17,129.20	Facility		$4,845.13	$4,845.13	$17,129.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,008.95 / $4,894.07 / $4,894.07	Professional		$3,008.95	$4,894.07	$4,894.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,998.52 / $6,998.52 / $6,998.52	Facility		$6,998.52	$6,998.52	$6,998.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.17 / $1,130.17 / $1,614.53	Professional		$1,130.17	$1,130.17	$1,614.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,075.34 / $5,075.34 / $7,975.53	Facility		$5,075.34	$5,075.34	$7,975.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,075.34 / $6,998.52 / $11,963.29	Facility		$5,075.34	$6,998.52	$11,963.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.17 / $1,614.53 / $3,081.45	Professional		$1,130.17	$1,614.53	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $4,531.56 / $6,094.04	Professional		$3,021.04	$4,531.56	$6,094.04