Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $42,657.95 / $67,608.30	Facility		$23,442.29	$42,657.95	$67,608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $5,128.61 / $5,370.32	Professional		$588.84	$5,128.61	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $26,302.68	Facility		$5,495.41	$5,495.41	$26,302.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $17,782.79	Professional		$5,495.41	$5,495.41	$17,782.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $20,417.38 / $21,877.62	Facility		$5,495.41	$20,417.38	$21,877.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $15,135.61 / $26,302.68	Facility		$4,365.16	$15,135.61	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $10,964.78 / $16,595.87	Professional		$3,311.31	$10,964.78	$16,595.87