Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,639.63 / $6,171.36 / $12,867.40	Facility		$3,639.63	$6,171.36	$12,867.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,240.23 / $3,750.55	Professional		$2,016.42	$2,240.23	$3,750.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.29 / $5,363.29 / $5,363.29	Facility		$5,363.29	$5,363.29	$5,363.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $6,492.87	Professional		$2,016.42	$2,016.42	$6,492.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,915.94 / $3,387.75 / $5,323.60	Facility		$2,915.94	$3,387.75	$5,323.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,960.85 / $4,839.64 / $7,985.41	Facility		$2,960.85	$4,839.64	$7,985.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,187.63	Professional		$2,016.42	$2,016.42	$2,187.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $3,024.63 / $4,067.52	Professional		$2,016.42	$3,024.63	$4,067.52