Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $21,379.62 / $33,884.42	Facility		$12,022.64	$21,379.62	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,570.40 / $9,120.11	Professional		$457.09	$2,570.40	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $13,182.57	Facility		$2,754.23	$2,754.23	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $8,912.51	Professional		$2,754.23	$2,754.23	$8,912.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $10,232.93 / $10,964.78	Facility		$2,754.23	$10,232.93	$10,964.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,585.78 / $13,182.57	Facility		$2,187.76	$7,585.78	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,495.41 / $8,317.64	Professional		$1,659.59	$5,495.41	$8,317.64