Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.52 / $8,627.33 / $16,195.20	Facility		$2,290.52	$8,627.33	$16,195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,522.61 / $2,522.61 / $2,522.61	Professional		$2,522.61	$2,522.61	$2,522.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,327.39 / $2,327.39 / $2,327.39	Facility		$2,327.39	$2,327.39	$2,327.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,046.75 / $2,046.75 / $2,429.89	Professional		$2,046.75	$2,046.75	$2,429.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,607.33 / $3,607.33 / $3,607.33	Facility		$3,607.33	$3,607.33	$3,607.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.73 / $2,866.56 / $5,169.50	Professional		$1,154.73	$2,866.56	$5,169.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,038.75 / $3,672.00 / $5,405.82	Professional		$3,038.75	$3,672.00	$5,405.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,327.39 / $3,455.98 / $3,607.33	Facility		$2,327.39	$3,455.98	$3,607.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,716.29 / $3,400.00 / $5,554.84	Professional		$1,716.29	$3,400.00	$5,554.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.13 / $1,987.60 / $2,998.50	Professional		$1,320.13	$1,987.60	$2,998.50