Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,623.87 / $16,897.50 / $28,709.40	Facility		$3,623.87	$16,897.50	$28,709.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $8,202.68 / $8,202.68	Professional		$600.00	$8,202.68	$8,202.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,764.13 / $6,764.13 / $6,764.13	Facility		$6,764.13	$6,764.13	$6,764.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,813.77 / $2,813.77 / $3,517.21	Professional		$2,813.77	$2,813.77	$3,517.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,396.75 / $2,396.75 / $2,396.75	Facility		$2,396.75	$2,396.75	$2,396.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $7,884.36	Professional		$2,448.56	$2,448.56	$7,884.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,569.95 / $9,059.67 / $9,794.24	Facility		$8,569.95	$9,059.67	$9,794.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.15 / $3,672.84 / $9,794.24	Professional		$903.15	$3,672.84	$9,794.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,396.75 / $2,396.75 / $2,396.75	Facility		$2,396.75	$2,396.75	$2,396.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $2,448.56 / $6,733.54	Professional		$572.00	$2,448.56	$6,733.54
United Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $4,897.12 / $7,387.82	Professional		$270.95	$4,897.12	$7,387.82