Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,946.30 / $6,555.95 / $11,138.80	Facility		$3,946.30	$6,555.95	$11,138.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,182.50 / $3,182.50 / $3,182.50	Professional		$3,182.50	$3,182.50	$3,182.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,624.38 / $2,624.38 / $2,624.38	Facility		$2,624.38	$2,624.38	$2,624.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,364.45	Professional		$1,091.56	$1,091.56	$1,364.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.63 / $769.50 / $1,178.00	Facility		$624.63	$769.50	$1,178.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $3,800.00	Professional		$950.00	$950.00	$3,800.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,325.00 / $3,515.00 / $3,800.00	Facility		$3,325.00	$3,515.00	$3,800.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,425.00 / $3,800.00	Professional		$855.00	$1,425.00	$3,800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $769.50 / $1,738.50	Facility		$627.00	$769.50	$1,738.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $950.00 / $2,612.50	Professional		$902.50	$950.00	$2,612.50
United Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $1,900.00 / $2,866.35	Professional		$427.50	$1,900.00	$2,866.35