Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,492.06 / $5,801.33 / $9,856.62	Facility		$3,492.06	$5,801.33	$9,856.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,816.18 / $2,816.18 / $2,816.18	Professional		$2,816.18	$2,816.18	$2,816.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.29 / $2,322.29 / $2,322.29	Facility		$2,322.29	$2,322.29	$2,322.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $966.01 / $1,207.51	Professional		$966.01	$966.01	$1,207.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $655.71 / $1,008.78	Facility		$504.39	$655.71	$1,008.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $3,362.60	Professional		$840.65	$840.65	$3,362.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,942.28 / $3,110.41 / $3,362.60	Facility		$2,942.28	$3,110.41	$3,362.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.59 / $1,260.98 / $3,362.60	Professional		$756.59	$1,260.98	$3,362.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,322.29 / $3,110.41 / $3,362.60	Facility		$2,322.29	$3,110.41	$3,362.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.62 / $840.65 / $2,311.79	Professional		$798.62	$840.65	$2,311.79
United Facility/Professional Professional Modifier Low / Median / High Price $378.29 / $1,681.30 / $2,536.42	Professional		$378.29	$1,681.30	$2,536.42