Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,760.00 / $82,812.00 / $140,700.00	Facility		$17,760.00	$82,812.00	$140,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.09 / $40,200.00 / $40,200.00	Professional		$998.09	$40,200.00	$40,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33,150.00 / $33,150.00 / $33,150.00	Facility		$33,150.00	$33,150.00	$33,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,789.24 / $13,789.24 / $17,236.56	Professional		$13,789.24	$13,789.24	$17,236.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $38,640.00	Professional		$12,000.00	$12,000.00	$38,640.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42,000.00 / $44,400.00 / $48,000.00	Facility		$42,000.00	$44,400.00	$48,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,800.00 / $27,000.00 / $48,000.00	Professional		$10,800.00	$27,000.00	$48,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,400.00 / $12,000.00 / $33,000.00	Professional		$11,400.00	$12,000.00	$33,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,400.00 / $24,000.00 / $36,206.51	Professional		$5,400.00	$24,000.00	$36,206.51