Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $25,118.86 / $39,810.72	Facility		$14,125.38	$25,118.86	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $10,964.78	Professional		$2,630.27	$3,019.95	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $15,488.17	Facility		$3,235.94	$3,235.94	$15,488.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $10,471.29	Professional		$3,235.94	$3,235.94	$10,471.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $12,022.64 / $12,882.50	Facility		$3,235.94	$12,022.64	$12,882.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,912.51 / $15,488.17	Facility		$2,570.40	$8,912.51	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $6,456.54 / $9,772.37	Professional		$1,949.84	$6,456.54	$9,772.37