Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,376.70 / $28,867.80 / $49,047.20	Facility		$17,376.70	$28,867.80	$49,047.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14,013.49 / $14,013.49 / $14,013.49	Professional		$14,013.49	$14,013.49	$14,013.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,555.88 / $11,555.88 / $11,555.88	Facility		$11,555.88	$11,555.88	$11,555.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20,039.29 / $20,039.29 / $20,039.29	Facility		$20,039.29	$20,039.29	$20,039.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $4,183.13 / $13,469.68	Professional		$4,183.13	$4,183.13	$13,469.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,477.58 / $15,477.58 / $16,732.52	Facility		$15,477.58	$15,477.58	$16,732.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,764.82 / $9,412.04 / $9,412.04	Professional		$3,764.82	$9,412.04	$9,412.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,555.88 / $16,105.05 / $20,039.29	Facility		$11,555.88	$16,105.05	$20,039.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,503.61 / $11,503.61 / $11,503.61	Professional		$11,503.61	$11,503.61	$11,503.61
United Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $8,366.26 / $12,621.38	Professional		$4,183.13	$8,366.26	$12,621.38