Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,919.52 / $22,938.90 / $38,973.90	Facility		$4,919.52	$22,938.90	$38,973.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,135.40 / $11,135.40 / $12,744.20	Professional		$11,135.40	$11,135.40	$12,744.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.54 / $9,182.54 / $9,182.54	Facility		$9,182.54	$9,182.54	$9,182.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,819.42 / $3,819.42 / $4,774.28	Professional		$3,819.42	$3,819.42	$4,774.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $1,994.40 / $1,994.40	Facility		$1,994.40	$1,994.40	$1,994.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $10,703.28	Professional		$3,324.00	$3,324.00	$10,703.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,634.00 / $12,298.80 / $13,296.00	Facility		$11,634.00	$12,298.80	$13,296.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,991.60 / $7,479.00 / $13,296.00	Professional		$2,991.60	$7,479.00	$13,296.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $1,994.40 / $1,994.40	Facility		$1,994.40	$1,994.40	$1,994.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,157.80 / $3,324.00 / $9,141.00	Professional		$3,157.80	$3,324.00	$9,141.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,495.80 / $6,648.00 / $10,029.20	Professional		$1,495.80	$6,648.00	$10,029.20