Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,803.84 / $21,379.62	Facility		$7,585.78	$13,803.84	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $5,888.44	Professional		$1,584.89	$1,659.59	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $8,709.64 / $20,417.38	Facility		$1,949.84	$8,709.64	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $6,309.57	Professional		$1,698.24	$6,309.57	$6,309.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $7,762.47	Facility		$1,949.84	$7,244.36	$7,762.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,317.64	Facility		$1,412.54	$5,370.32	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,548.13 / $5,248.07	Professional		$1,047.13	$3,548.13	$5,248.07