Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,379.00 / $8,345.70 / $11,200.50	Facility		$5,379.00	$8,345.70	$11,200.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,583.47 / $6,583.47 / $6,583.47	Facility	50	$6,583.47	$6,583.47	$6,583.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $883.51 / $3,270.80	Professional		$438.93	$883.51	$3,270.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.80 / $1,654.19 / $2,219.25	Professional		$1,240.80	$1,654.19	$2,219.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.28 / $2,477.88 / $3,469.03	Facility		$490.28	$2,477.88	$3,469.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.73 / $1,538.07 / $3,122.45	Professional		$1,281.73	$1,538.07	$3,122.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.75 / $2,526.67 / $3,136.00	Professional		$1,838.75	$2,526.67	$3,136.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.28 / $2,477.88 / $3,469.03	Facility		$490.28	$2,477.88	$3,469.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $2,497.30 / $3,242.80	Professional		$760.00	$2,497.30	$3,242.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.36 / $2,315.88 / $2,911.39	Professional		$1,323.36	$2,315.88	$2,911.39