Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,422.51 / $9,795.50 / $15,305.50	Facility		$5,422.51	$9,795.50	$15,305.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,920.90 / $9,795.50 / $15,086.80	Professional		$8,920.90	$9,795.50	$15,086.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,606.08 / $3,606.08 / $3,606.08	Facility		$3,606.08	$3,606.08	$3,606.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.02 / $1,500.02 / $1,875.02	Professional		$1,500.02	$1,500.02	$1,875.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $992.08 / $1,566.44	Facility		$783.22	$992.08	$1,566.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $5,221.47	Professional		$1,305.36	$1,305.36	$5,221.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,829.87 / $4,829.87 / $5,221.47	Facility		$4,829.87	$4,829.87	$5,221.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,958.05 / $5,221.47	Professional		$1,174.83	$1,958.05	$5,221.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,005.13 / $2,545.46	Facility		$783.22	$1,005.13	$2,545.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.09 / $1,305.36 / $3,589.77	Professional		$1,240.09	$1,305.36	$3,589.77
United Facility/Professional Professional Modifier Low / Median / High Price $587.41 / $2,610.73 / $3,938.58	Professional		$587.41	$2,610.73	$3,938.58