Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,335.20 / $18,670.00 / $29,171.80	Facility		$10,335.20	$18,670.00	$29,171.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17,003.00 / $18,670.00 / $28,755.10	Professional		$17,003.00	$18,670.00	$28,755.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,873.10 / $6,873.10 / $6,873.10	Facility		$6,873.10	$6,873.10	$6,873.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $2,859.20 / $3,574.00	Professional		$2,859.20	$2,859.20	$3,574.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $1,940.64 / $2,985.60	Facility		$1,492.80	$1,940.64	$2,985.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $9,952.00	Professional		$2,488.00	$2,488.00	$9,952.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,708.00 / $9,205.60 / $9,952.00	Facility		$8,708.00	$9,205.60	$9,952.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,239.19 / $3,732.00 / $9,952.00	Professional		$2,239.19	$3,732.00	$9,952.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $1,940.64 / $4,851.60	Facility		$1,492.80	$1,940.64	$4,851.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,363.60 / $2,488.00 / $6,842.00	Professional		$2,363.60	$2,488.00	$6,842.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.59 / $4,976.00 / $7,506.82	Professional		$1,119.59	$4,976.00	$7,506.82