Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.00 / $6,210.90 / $10,552.50	Facility		$1,332.00	$6,210.90	$10,552.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $3,015.00 / $5,787.00	Professional		$336.60	$3,015.00	$5,787.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.25 / $2,486.25 / $2,486.25	Facility		$2,486.25	$2,486.25	$2,486.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,311.45 / $4,311.45 / $4,311.45	Facility		$4,311.45	$4,311.45	$4,311.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $2,898.00	Professional		$900.00	$900.00	$2,898.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,150.00 / $3,330.00 / $3,600.00	Facility		$3,150.00	$3,330.00	$3,600.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $2,025.00 / $2,025.00	Professional		$810.00	$2,025.00	$2,025.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,486.25 / $3,330.00 / $4,311.45	Facility		$2,486.25	$3,330.00	$4,311.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $2,475.00 / $2,475.00	Professional		$810.00	$2,475.00	$2,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,800.00 / $2,715.49	Professional		$900.00	$1,800.00	$2,715.49