Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,218.27 / $16,652.40 / $26,019.30	Facility		$9,218.27	$16,652.40	$26,019.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,165.50 / $16,652.40 / $25,647.60	Professional		$15,165.50	$16,652.40	$25,647.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,130.33 / $6,130.33 / $6,130.33	Facility		$6,130.33	$6,130.33	$6,130.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $2,549.86 / $3,187.33	Professional		$2,549.86	$2,549.86	$3,187.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,331.48 / $2,108.17	Facility		$1,331.48	$1,331.48	$2,108.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $2,219.13 / $8,876.52	Professional		$2,219.13	$2,219.13	$8,876.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,210.78 / $8,210.78 / $8,876.52	Facility		$8,210.78	$8,210.78	$8,876.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,997.22 / $3,328.70 / $8,876.52	Professional		$1,997.22	$3,328.70	$8,876.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,331.48 / $2,552.00	Facility		$1,331.48	$1,331.48	$2,552.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,108.17 / $2,330.09 / $8,876.52	Professional		$2,108.17	$2,330.09	$8,876.52
United Facility/Professional Professional Modifier Low / Median / High Price $998.61 / $4,438.26 / $6,695.58	Professional		$998.61	$4,438.26	$6,695.58