Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,489.63 / $21,379.62	Facility		$7,585.78	$13,489.63	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,122.02	Professional		$954.99	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $12,589.25	Facility		$1,737.80	$5,888.44	$12,589.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $5,623.41	Professional		$1,698.24	$5,248.07	$5,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $6,918.31	Facility		$1,737.80	$6,456.54	$6,918.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,786.30 / $8,317.64	Facility		$933.25	$4,786.30	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,344.23 / $3,548.13	Professional		$707.95	$2,344.23	$3,548.13