Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $24,547.09 / $38,904.51	Facility		$13,803.84	$24,547.09	$38,904.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,951.21 / $3,090.30	Professional		$691.83	$2,951.21	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $15,135.61	Facility		$3,162.28	$3,162.28	$15,135.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $10,232.93	Professional		$3,162.28	$3,162.28	$10,232.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $11,748.98 / $12,589.25	Facility		$3,162.28	$11,748.98	$12,589.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,709.64 / $15,135.61	Facility		$2,511.89	$8,709.64	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $6,309.57 / $9,549.93	Professional		$1,905.46	$6,309.57	$9,549.93