Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,489.63 / $21,379.62	Facility		$7,585.78	$13,489.63	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,621.81 / $1,698.24	Professional		$223.87	$1,621.81	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $8,317.64	Facility		$1,737.80	$1,737.80	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,623.41	Professional		$1,737.80	$1,737.80	$5,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $6,918.31	Facility		$1,737.80	$6,456.54	$6,918.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,786.30 / $8,317.64	Facility		$1,380.38	$4,786.30	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,467.37 / $5,248.07	Professional		$1,047.13	$3,467.37	$5,248.07