Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $19,952.62 / $31,622.78	Facility		$11,220.18	$19,952.62	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,570.40	Professional		$2,398.83	$2,511.89	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $12,302.69	Facility		$2,570.40	$2,570.40	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $8,317.64	Professional		$2,570.40	$2,570.40	$8,317.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $9,549.93 / $10,232.93	Facility		$2,570.40	$9,549.93	$10,232.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,079.46 / $12,302.69	Facility		$2,041.74	$7,079.46	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,762.47	Professional		$1,548.82	$5,128.61	$7,762.47