Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,622.87 / $14,325.10 / $24,338.80	Facility		$8,622.87	$14,325.10	$24,338.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,953.93 / $6,953.93 / $6,953.93	Professional		$6,953.93	$6,953.93	$6,953.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,734.40 / $5,734.40 / $5,734.40	Facility		$5,734.40	$5,734.40	$5,734.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.41 / $1,681.40 / $2,573.98	Facility		$1,380.41	$1,681.40	$2,573.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.80 / $2,075.80 / $8,303.20	Professional		$2,075.80	$2,075.80	$8,303.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,680.46 / $7,680.46 / $8,303.20	Facility		$7,680.46	$7,680.46	$8,303.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.22 / $3,113.70 / $8,303.20	Professional		$1,868.22	$3,113.70	$8,303.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.41 / $1,702.16 / $3,798.72	Facility		$1,380.41	$1,702.16	$3,798.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,972.01 / $2,179.59 / $8,303.20	Professional		$1,972.01	$2,179.59	$8,303.20
United Facility/Professional Professional Modifier Low / Median / High Price $934.11 / $4,151.60 / $6,263.12	Professional		$934.11	$4,151.60	$6,263.12