Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,990.88 / $5,402.88 / $8,442.00	Facility		$2,990.88	$5,402.88	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,920.47 / $5,402.88 / $8,321.40	Professional		$4,920.47	$5,402.88	$8,321.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $1,989.00 / $1,989.00	Facility		$1,989.00	$1,989.00	$1,989.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,449.16 / $3,449.16 / $3,449.16	Facility		$3,449.16	$3,449.16	$3,449.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $2,318.40	Professional		$720.00	$720.00	$2,318.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,520.00 / $2,664.00 / $2,880.00	Facility		$2,520.00	$2,664.00	$2,880.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $1,620.00 / $1,620.00	Professional		$648.00	$1,620.00	$1,620.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $2,664.00 / $3,449.16	Facility		$1,989.00	$2,664.00	$3,449.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $1,980.00 / $1,980.00	Professional		$1,980.00	$1,980.00	$1,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,440.00 / $2,172.39	Professional		$720.00	$1,440.00	$2,172.39