Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,748.98 / $18,620.87	Facility		$6,606.93	$11,748.98	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $5,128.61	Professional		$1,412.54	$1,479.11	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $7,244.36	Facility		$1,513.56	$1,513.56	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $4,897.79	Professional		$1,513.56	$1,513.56	$4,897.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $6,025.60	Facility		$1,513.56	$5,623.41	$6,025.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,168.69 / $7,244.36	Facility		$1,202.26	$4,168.69	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,019.95 / $4,570.88	Professional		$912.01	$3,019.95	$4,570.88