Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $15,848.93	Facility		$5,623.41	$10,232.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $4,365.16	Professional		$912.01	$1,096.48	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,365.16 / $9,332.54	Facility		$1,318.26	$4,365.16	$9,332.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,168.69 / $4,168.69	Professional		$1,258.93	$4,168.69	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,786.30 / $5,248.07	Facility		$1,318.26	$4,786.30	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $6,309.57	Facility		$891.25	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,238.72 / $3,388.44	Professional		$676.08	$2,238.72	$3,388.44