Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,115.50 / $5,175.75 / $8,793.75	Facility		$3,115.50	$5,175.75	$8,793.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,512.50 / $2,512.50 / $2,512.50	Professional		$2,512.50	$2,512.50	$2,512.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,071.88 / $2,071.88 / $2,071.88	Facility		$2,071.88	$2,071.88	$2,071.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $712.50	Facility		$450.00	$450.00	$712.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $3,000.00	Professional		$750.00	$750.00	$3,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,775.00 / $2,775.00 / $3,000.00	Facility		$2,775.00	$2,775.00	$3,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $1,125.00 / $3,000.00	Professional		$675.00	$1,125.00	$3,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $862.50	Facility		$450.00	$450.00	$862.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $750.00 / $2,062.50	Professional		$712.50	$750.00	$2,062.50
United Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $1,500.00 / $2,262.91	Professional		$337.50	$1,500.00	$2,262.91