Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,726.14 / $6,190.20 / $10,517.30	Facility		$3,726.14	$6,190.20	$10,517.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,004.95 / $3,004.95 / $3,004.95	Professional		$3,004.95	$3,004.95	$3,004.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,477.96 / $2,477.96 / $2,477.96	Facility		$2,477.96	$2,477.96	$2,477.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,030.84 / $1,288.56	Professional		$1,030.84	$1,030.84	$1,288.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $538.20 / $852.15	Facility		$538.20	$538.20	$852.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $897.00 / $3,588.00	Professional		$897.00	$897.00	$3,588.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,318.90 / $3,318.90 / $3,588.00	Facility		$3,318.90	$3,318.90	$3,588.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.30 / $1,345.50 / $3,588.00	Professional		$807.30	$1,345.50	$3,588.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $538.20 / $1,031.55	Facility		$538.20	$538.20	$1,031.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.15 / $897.00 / $2,466.75	Professional		$852.15	$897.00	$2,466.75
United Facility/Professional Professional Modifier Low / Median / High Price $403.65 / $1,794.00 / $2,706.44	Professional		$403.65	$1,794.00	$2,706.44