Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $5,486.29 / $9,321.37	Facility		$1,176.59	$5,486.29	$9,321.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,663.25 / $2,663.25 / $3,048.03	Professional		$2,663.25	$2,663.25	$3,048.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,196.19 / $2,196.19 / $2,196.19	Facility		$2,196.19	$2,196.19	$2,196.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $913.56 / $1,141.95	Professional		$913.56	$913.56	$1,141.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $397.50 / $577.50	Facility		$397.50	$397.50	$577.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $2,559.90	Professional		$795.00	$795.00	$2,559.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.50 / $2,941.50 / $3,180.00	Facility		$2,782.50	$2,941.50	$3,180.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $1,788.75 / $3,180.00	Professional		$715.50	$1,788.75	$3,180.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $397.50 / $577.50	Facility		$397.50	$397.50	$577.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.25 / $795.00 / $2,186.25	Professional		$755.25	$795.00	$2,186.25
United Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $1,590.00 / $2,398.67	Professional		$357.75	$1,590.00	$2,398.67