Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,232.51 / $7,211.06 / $13,757.20	Facility		$2,232.51	$7,211.06	$13,757.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,134.37 / $3,936.36 / $4,926.60	Professional		$2,134.37	$3,936.36	$4,926.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,628.99 / $5,628.99 / $5,628.99	Facility		$5,628.99	$5,628.99	$5,628.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $6,814.55	Professional		$2,116.32	$2,116.32	$6,814.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,121.38 / $3,321.77 / $5,219.92	Facility		$3,121.38	$3,321.77	$5,219.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,118.24 / $4,745.38 / $7,829.88	Facility		$3,118.24	$4,745.38	$7,829.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,296.01	Professional		$2,116.32	$2,116.32	$2,296.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $3,174.48 / $4,269.04	Professional		$2,116.32	$3,174.48	$4,269.04