Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,746.50 / $41,090.40 / $64,203.80	Facility		$22,746.50	$41,090.40	$64,203.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37,421.60 / $41,090.40 / $63,286.60	Professional		$37,421.60	$41,090.40	$63,286.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,126.90 / $15,126.90 / $15,126.90	Facility		$15,126.90	$15,126.90	$15,126.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26,231.82 / $26,231.82 / $26,231.82	Facility		$26,231.82	$26,231.82	$26,231.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $5,475.80 / $17,632.08	Professional		$5,475.80	$5,475.80	$17,632.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,260.46 / $20,260.46 / $21,903.20	Facility		$20,260.46	$20,260.46	$21,903.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,928.22 / $12,320.55 / $12,320.55	Professional		$4,928.22	$12,320.55	$12,320.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $15,126.90 / $21,081.83 / $26,231.82	Facility		$15,126.90	$21,081.83	$26,231.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $15,058.45 / $15,058.45 / $15,058.45	Professional		$15,058.45	$15,058.45	$15,058.45
United Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $10,951.60 / $16,521.64	Professional		$5,475.80	$10,951.60	$16,521.64