Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,585.78 / $12,882.50	Facility		$1,548.82	$7,585.78	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $3,548.13	Professional		$851.14	$1,023.29	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,513.56	Professional		$1,202.26	$1,202.26	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,047.13	Facility		$660.69	$660.69	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,168.69	Professional		$1,047.13	$1,047.13	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,890.45 / $4,168.69	Facility		$1,047.13	$3,890.45	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $2,344.23	Professional		$1,096.48	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,047.13	Professional		$954.99	$954.99	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,047.13 / $3,162.28	Professional		$467.74	$1,047.13	$3,162.28