Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $40,738.03 / $64,565.42	Facility		$22,387.21	$40,738.03	$64,565.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $4,897.79 / $5,011.87	Professional		$12.88	$4,897.79	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $25,118.86	Facility		$5,248.07	$5,248.07	$25,118.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $16,982.44	Professional		$5,248.07	$5,248.07	$16,982.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $19,498.45 / $20,892.96	Facility		$5,248.07	$19,498.45	$20,892.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $14,454.40 / $25,118.86	Facility		$4,168.69	$14,454.40	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $10,471.29 / $15,848.93	Professional		$3,162.28	$10,471.29	$15,848.93