Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,405.00 / $11,214.10 / $19,053.09	Facility		$2,405.00	$11,214.10	$19,053.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $5,443.75 / $5,443.75	Professional		$2,405.00	$5,443.75	$5,443.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,489.06 / $4,489.06 / $4,489.06	Facility		$4,489.06	$4,489.06	$4,489.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.59 / $1,867.59 / $2,334.48	Professional		$1,867.59	$1,867.59	$2,334.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $975.00 / $1,348.75	Facility		$975.00	$975.00	$1,348.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $5,232.50	Professional		$1,625.00	$1,625.00	$5,232.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,687.50 / $6,012.50 / $6,500.00	Facility		$5,687.50	$6,012.50	$6,500.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $3,656.25 / $6,500.00	Professional		$1,462.50	$3,656.25	$6,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $975.00 / $2,015.00	Facility		$975.00	$975.00	$2,015.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,543.75 / $1,625.00 / $4,468.75	Professional		$1,543.75	$1,625.00	$4,468.75
United Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $3,250.00 / $4,902.97	Professional		$731.25	$3,250.00	$4,902.97