Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $16,982.44 / $26,915.35	Facility		$9,549.93	$16,982.44	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Professional		$2,137.96	$2,137.96	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $10,471.29	Facility		$2,187.76	$2,187.76	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $7,079.46	Professional		$2,187.76	$2,187.76	$7,079.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,128.31 / $8,709.64	Facility		$2,187.76	$8,128.31	$8,709.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $10,471.29	Facility		$1,778.28	$6,025.60	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,365.16 / $6,606.93	Professional		$1,318.26	$4,365.16	$6,606.93