Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,772.37 / $15,488.17	Facility		$5,495.41	$9,772.37	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $4,265.80	Professional		$1,023.29	$1,174.90	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $6,025.60	Facility		$1,258.93	$1,258.93	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,073.80	Professional		$1,258.93	$1,258.93	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $5,011.87	Facility		$1,258.93	$4,677.35	$5,011.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $6,025.60	Facility		$1,000.00	$3,467.37	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,511.89 / $3,801.89	Professional		$758.58	$2,511.89	$3,801.89