Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $25,118.86 / $38,904.51	Facility		$13,803.84	$25,118.86	$38,904.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $10,715.19	Professional		$2,570.40	$3,090.30	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $15,488.17	Facility		$3,235.94	$3,235.94	$15,488.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $10,232.93	Professional		$3,235.94	$3,235.94	$10,232.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $11,748.98 / $12,882.50	Facility		$3,235.94	$11,748.98	$12,882.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,912.51 / $15,488.17	Facility		$2,570.40	$8,912.51	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $6,456.54 / $9,549.93	Professional		$1,905.46	$6,456.54	$9,549.93