Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $38,904.51 / $61,659.50	Facility		$21,379.62	$38,904.51	$61,659.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $16,595.87	Professional		$4,073.80	$4,677.35	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $23,988.33	Facility		$5,011.87	$5,011.87	$23,988.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $16,218.10	Professional		$5,011.87	$5,011.87	$16,218.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $18,620.87 / $19,952.62	Facility		$5,011.87	$18,620.87	$19,952.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $13,803.84 / $23,988.33	Facility		$3,981.07	$13,803.84	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $10,000.00 / $15,135.61	Professional		$3,019.95	$10,000.00	$15,135.61