Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,856.09 / $32,986.80 / $56,045.50	Facility		$19,856.09	$32,986.80	$56,045.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,013.00 / $16,013.00 / $16,013.00	Professional		$16,013.00	$16,013.00	$16,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,204.75 / $13,204.75 / $13,204.75	Facility		$13,204.75	$13,204.75	$13,204.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22,898.59 / $22,898.59 / $22,898.59	Facility		$22,898.59	$22,898.59	$22,898.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,302.00 / $4,780.00 / $15,391.60	Professional		$4,302.00	$4,780.00	$15,391.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,730.00 / $17,686.00 / $19,120.00	Facility		$16,730.00	$17,686.00	$19,120.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,302.00 / $10,755.00 / $10,755.00	Professional		$4,302.00	$10,755.00	$10,755.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,204.75 / $17,686.00 / $22,898.59	Facility		$13,204.75	$17,686.00	$22,898.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,302.00 / $13,145.00 / $13,145.00	Professional		$4,302.00	$13,145.00	$13,145.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $9,560.00 / $14,422.26	Professional		$4,780.00	$9,560.00	$14,422.26