Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,990.88 / $5,402.88 / $8,442.00	Facility		$2,990.88	$5,402.88	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,920.47 / $5,402.88 / $8,321.40	Professional		$4,920.47	$5,402.88	$8,321.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $1,989.00 / $1,989.00	Facility		$1,989.00	$1,989.00	$1,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $547.20 / $864.00	Facility		$432.00	$547.20	$864.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $2,880.00	Professional		$720.00	$720.00	$2,880.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,664.00 / $2,664.00 / $2,880.00	Facility		$2,664.00	$2,664.00	$2,880.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $1,080.00 / $2,880.00	Professional		$648.00	$1,080.00	$2,880.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $554.40 / $1,404.00	Facility		$432.00	$554.40	$1,404.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $720.00 / $1,980.00	Professional		$684.00	$720.00	$1,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $1,440.00 / $2,172.39	Professional		$324.00	$1,440.00	$2,172.39