Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $14,454.40 / $22,908.68	Facility		$8,128.31	$14,454.40	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $6,309.57	Professional		$1,513.56	$1,737.80	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $8,912.51	Facility		$1,862.09	$1,862.09	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $6,025.60	Professional		$1,862.09	$1,862.09	$6,025.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,918.31 / $7,413.10	Facility		$1,862.09	$6,918.31	$7,413.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,128.61 / $8,912.51	Facility		$1,479.11	$5,128.61	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $5,623.41	Professional		$1,122.02	$3,715.35	$5,623.41