Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $52,480.75 / $83,176.38	Facility		$28,840.32	$52,480.75	$83,176.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,309.57 / $6,606.93	Professional		$5,495.41	$6,309.57	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $32,359.37	Facility		$6,760.83	$6,760.83	$32,359.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $21,877.62	Professional		$6,760.83	$6,760.83	$21,877.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $25,118.86 / $26,915.35	Facility		$6,760.83	$25,118.86	$26,915.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $18,620.87 / $32,359.37	Facility		$5,370.32	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $13,489.63 / $20,417.38	Professional		$4,073.80	$13,489.63	$20,417.38