Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.28 / $6,459.34 / $10,974.60	Facility		$1,385.28	$6,459.34	$10,974.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.28 / $3,135.60 / $3,135.60	Professional		$1,385.28	$3,135.60	$3,135.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,585.69 / $2,585.69 / $2,585.69	Facility		$2,585.69	$2,585.69	$2,585.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.86 / $1,075.86 / $1,344.83	Professional		$1,075.86	$1,075.86	$1,344.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $561.60 / $1,150.00	Facility		$561.60	$561.60	$1,150.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $3,013.92	Professional		$936.00	$936.00	$3,013.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,276.00 / $3,463.20 / $3,744.00	Facility		$3,276.00	$3,463.20	$3,744.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $2,106.00 / $3,744.00	Professional		$842.40	$2,106.00	$3,744.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $561.60 / $1,150.00	Facility		$561.60	$561.60	$1,150.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $936.00 / $2,574.00	Professional		$889.20	$936.00	$2,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $1,872.00 / $2,824.11	Professional		$421.20	$1,872.00	$2,824.11