Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.97 / $7,947.35 / $21,091.10	Facility		$4,105.97	$7,947.35	$21,091.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,113.35 / $6,113.35 / $11,734.00	Professional		$6,113.35	$6,113.35	$11,734.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,041.22 / $5,041.22 / $5,041.22	Facility		$5,041.22	$5,041.22	$5,041.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.24 / $1,260.24 / $2,801.85	Professional		$1,260.24	$1,260.24	$2,801.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,742.09 / $8,742.09 / $8,742.09	Facility		$8,742.09	$8,742.09	$8,742.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $5,876.11	Professional		$1,824.88	$1,824.88	$5,876.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,387.08 / $6,752.06 / $9,943.44	Facility		$6,387.08	$6,752.06	$9,943.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,642.39 / $4,105.97 / $4,105.97	Professional		$1,642.39	$4,105.97	$4,105.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,041.22 / $7,025.79 / $9,943.44	Facility		$5,041.22	$7,025.79	$9,943.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,260.24 / $2,801.85 / $5,018.42	Professional		$1,260.24	$2,801.85	$5,018.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,485.86 / $4,505.85 / $5,506.05	Professional		$2,485.86	$4,505.85	$5,506.05