Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,471.29 / $16,218.10	Facility		$5,754.40	$10,471.29	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $1,288.25 / $4,466.84	Professional		$41.69	$1,288.25	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $6,456.54	Facility		$1,348.96	$1,348.96	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,265.80	Professional		$1,348.96	$1,348.96	$4,265.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $5,370.32	Facility		$1,348.96	$4,897.79	$5,370.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $6,456.54	Facility		$1,071.52	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,691.53 / $4,073.80	Professional		$794.33	$2,691.53	$4,073.80