Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $12,882.50 / $35,481.34	Facility		$3,235.94	$12,882.50	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $10,000.00	Professional		$2,454.71	$2,818.38	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $14,454.40	Facility		$3,019.95	$3,019.95	$14,454.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $9,772.37	Professional		$3,019.95	$3,019.95	$9,772.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $11,220.18 / $12,022.64	Facility		$3,019.95	$11,220.18	$12,022.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,317.64 / $14,454.40	Facility		$2,398.83	$8,317.64	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $9,120.11	Professional		$1,819.70	$6,025.60	$9,120.11