Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,998.28 / $9,317.67 / $15,831.00	Facility		$1,998.28	$9,317.67	$15,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,998.28 / $4,523.14 / $4,523.14	Professional		$1,998.28	$4,523.14	$4,523.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,729.89 / $3,729.89 / $3,729.89	Facility		$3,729.89	$3,729.89	$3,729.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.64 / $1,551.64 / $1,939.55	Professional		$1,551.64	$1,551.64	$1,939.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $810.11 / $810.11	Facility		$810.11	$810.11	$810.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $4,347.60	Professional		$1,350.19	$1,350.19	$4,347.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.67 / $4,995.70 / $5,400.76	Facility		$4,725.67	$4,995.70	$5,400.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.17 / $3,037.93 / $5,400.76	Professional		$1,215.17	$3,037.93	$5,400.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $810.11 / $810.11	Facility		$810.11	$810.11	$810.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,282.68 / $1,350.19 / $3,713.02	Professional		$1,282.68	$1,350.19	$3,713.02
United Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $2,700.38 / $4,073.81	Professional		$607.59	$2,700.38	$4,073.81