Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,803.84 / $21,379.62	Facility		$7,585.78	$13,803.84	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $5,888.44	Professional		$1,412.54	$1,659.59	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $8,317.64	Facility		$1,737.80	$1,737.80	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,623.41	Professional		$1,737.80	$1,737.80	$5,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $7,079.46	Facility		$1,737.80	$6,456.54	$7,079.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $8,317.64	Facility		$1,412.54	$4,897.79	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,548.13 / $5,248.07	Professional		$1,047.13	$3,548.13	$5,248.07