Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $22,908.68 / $35,481.34	Facility		$12,589.25	$22,908.68	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $9,772.37	Professional		$2,754.23	$2,818.38	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $14,125.38	Facility		$2,951.21	$2,951.21	$14,125.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $9,332.54	Professional		$2,951.21	$2,951.21	$9,332.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,715.19 / $11,748.98	Facility		$2,951.21	$10,715.19	$11,748.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,128.31 / $14,125.38	Facility		$2,344.23	$8,128.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $8,709.64	Professional		$1,737.80	$5,888.44	$8,709.64