Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,807.80 / $4,968.20 / $17,564.30	Facility		$2,807.80	$4,968.20	$17,564.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,479.96 / $2,967.86 / $5,018.38	Professional		$2,479.96	$2,967.86	$5,018.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,725.03 / $5,018.38 / $7,025.73	Facility		$2,725.03	$5,018.38	$7,025.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $5,396.10	Professional		$2,698.05	$2,698.05	$5,396.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,012.27 / $4,212.88 / $6,620.24	Facility		$4,012.27	$4,212.88	$6,620.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,009.20 / $3,611.04 / $3,611.04	Professional		$3,009.20	$3,611.04	$3,611.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $5,018.38 / $7,025.73	Facility		$2,698.05	$5,018.38	$7,025.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,142.62 / $3,557.68	Professional		$2,698.05	$3,142.62	$3,557.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $4,047.08 / $8,094.15	Professional		$2,698.05	$4,047.08	$8,094.15