Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,904.76 / $8,881.59 / $15,090.10	Facility		$1,904.76	$8,881.59	$15,090.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.76 / $4,311.45 / $4,311.45	Professional		$1,904.76	$4,311.45	$4,311.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,555.34 / $3,555.34 / $3,555.34	Facility		$3,555.34	$3,555.34	$3,555.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,478.95 / $1,848.69	Professional		$1,478.95	$1,478.95	$1,848.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $772.20 / $1,580.00	Facility		$772.20	$772.20	$1,580.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $4,144.14	Professional		$1,287.00	$1,287.00	$4,144.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,504.50 / $4,761.89 / $5,148.00	Facility		$4,504.50	$4,761.89	$5,148.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.30 / $2,895.75 / $5,148.00	Professional		$1,158.30	$2,895.75	$5,148.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $772.20 / $1,580.00	Facility		$772.20	$772.20	$1,580.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,222.65 / $1,287.00 / $3,539.25	Professional		$1,222.65	$1,287.00	$3,539.25
United Facility/Professional Professional Modifier Low / Median / High Price $579.15 / $2,574.00 / $3,883.15	Professional		$579.15	$2,574.00	$3,883.15