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 $8,202.68 / $8,202.68 / $8,202.68	Professional		$8,202.68	$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 $1,273.67 / $1,273.67 / $2,695.99	Professional		$1,273.67	$1,273.67	$2,695.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11,729.83 / $11,729.83 / $11,729.83	Facility		$11,729.83	$11,729.83	$11,729.83
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 $2,203.69 / $5,509.26 / $5,509.26	Professional		$2,203.69	$5,509.26	$5,509.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,764.13 / $9,059.67 / $11,729.83	Facility		$6,764.13	$9,059.67	$11,729.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,273.67 / $6,733.54 / $6,733.54	Professional		$1,273.67	$6,733.54	$6,733.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $4,897.12 / $7,387.82	Professional		$2,448.56	$4,897.12	$7,387.82