Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,912.51 / $14,125.38	Facility		$4,897.79	$8,912.51	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $3,801.89	Professional		$933.25	$1,071.52	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $5,128.61	Facility		$1,148.15	$1,148.15	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,715.35	Professional		$1,148.15	$1,148.15	$3,715.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $4,570.88	Facility		$1,148.15	$4,265.80	$4,570.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,162.28 / $5,495.41	Facility		$912.01	$3,162.28	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,290.87 / $3,467.37	Professional		$691.83	$2,290.87	$3,467.37