Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $20,892.96 / $33,113.11	Facility		$11,748.98	$20,892.96	$33,113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $2,630.27 / $9,120.11	Professional		$14.13	$2,630.27	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $12,882.50	Facility		$2,691.53	$2,691.53	$12,882.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $8,709.64	Professional		$2,691.53	$2,691.53	$8,709.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,000.00 / $10,964.78	Facility		$2,691.53	$10,000.00	$10,964.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $12,882.50	Facility		$2,187.76	$7,413.10	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $8,128.31	Professional		$1,621.81	$5,370.32	$8,128.31