Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,292.80 / $24,012.80 / $37,520.00	Facility		$13,292.80	$24,012.80	$37,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21,868.80 / $24,012.80 / $36,984.00	Professional		$21,868.80	$24,012.80	$36,984.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,840.00 / $8,840.00 / $8,840.00	Facility		$8,840.00	$8,840.00	$8,840.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15,329.60 / $15,329.60 / $15,329.60	Facility		$15,329.60	$15,329.60	$15,329.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $10,304.00	Professional		$3,200.00	$3,200.00	$10,304.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,840.00 / $11,840.00 / $12,800.00	Facility		$11,840.00	$11,840.00	$12,800.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $7,200.00 / $7,200.00	Professional		$2,880.00	$7,200.00	$7,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,840.00 / $12,320.00 / $15,329.60	Facility		$8,840.00	$12,320.00	$15,329.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,800.00 / $8,800.00 / $8,800.00	Professional		$8,800.00	$8,800.00	$8,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $6,400.00 / $9,655.07	Professional		$3,200.00	$6,400.00	$9,655.07