Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,703.00 / $39,205.40 / $61,258.40	Facility		$21,703.00	$39,205.40	$61,258.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35,704.90 / $39,205.40 / $60,383.30	Professional		$35,704.90	$39,205.40	$60,383.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,432.96 / $14,432.96 / $14,432.96	Facility		$14,432.96	$14,432.96	$14,432.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25,028.45 / $25,028.45 / $25,028.45	Facility		$25,028.45	$25,028.45	$25,028.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $16,823.21	Professional		$5,224.60	$5,224.60	$16,823.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,331.02 / $19,331.02 / $20,898.40	Facility		$19,331.02	$19,331.02	$20,898.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $11,755.35 / $11,755.35	Professional		$4,702.14	$11,755.35	$11,755.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,432.96 / $20,114.71 / $25,028.45	Facility		$14,432.96	$20,114.71	$25,028.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $14,367.65 / $14,367.65 / $14,367.65	Professional		$14,367.65	$14,367.65	$14,367.65
United Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $10,449.20 / $15,763.72	Professional		$5,224.60	$10,449.20	$15,763.72