Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,206.80 / $5,792.93 / $9,051.45	Facility		$3,206.80	$5,792.93	$9,051.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,275.71 / $5,792.93 / $8,922.15	Professional		$5,275.71	$5,792.93	$8,922.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.61 / $2,132.61 / $2,132.61	Facility		$2,132.61	$2,132.61	$2,132.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $887.12 / $1,108.91	Professional		$887.12	$887.12	$1,108.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $602.14 / $926.38	Facility		$463.18	$602.14	$926.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $771.98 / $771.98 / $3,087.92	Professional		$771.98	$771.98	$3,087.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,701.93 / $2,856.33 / $3,087.92	Facility		$2,701.93	$2,856.33	$3,087.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.78 / $1,157.97 / $3,087.92	Professional		$694.78	$1,157.97	$3,087.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $602.14 / $1,505.36	Facility		$463.18	$602.14	$1,505.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.38 / $771.98 / $2,122.94	Professional		$733.38	$771.98	$2,122.94
United Facility/Professional Professional Modifier Low / Median / High Price $347.39 / $1,543.96 / $1,543.96	Professional		$347.39	$1,543.96	$1,543.96