Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $27,542.29 / $42,657.95	Facility		$15,135.61	$27,542.29	$42,657.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $11,748.98	Professional		$2,818.38	$3,311.31	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $16,595.87	Facility		$3,467.37	$3,467.37	$16,595.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $11,220.18	Professional		$3,467.37	$3,467.37	$11,220.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $12,882.50 / $14,125.38	Facility		$3,467.37	$12,882.50	$14,125.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $9,772.37 / $16,595.87	Facility		$2,818.38	$9,772.37	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $7,079.46 / $10,471.29	Professional		$2,089.30	$7,079.46	$10,471.29