Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,201.31 / $10,264.29 / $17,439.40	Facility		$2,201.31	$10,264.29	$17,439.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,982.68 / $4,982.68 / $9,563.79	Professional		$4,982.68	$4,982.68	$9,563.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,108.85 / $4,108.85 / $4,108.85	Facility		$4,108.85	$4,108.85	$4,108.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $1,708.99 / $2,136.23	Professional		$1,708.99	$1,708.99	$2,136.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $743.69 / $743.69	Facility		$743.69	$743.69	$743.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $5,949.48	Professional		$1,487.37	$1,487.37	$5,949.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,205.80 / $5,503.27 / $5,949.48	Facility		$5,205.80	$5,503.27	$5,949.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.63 / $2,231.06 / $5,949.48	Professional		$1,338.63	$2,231.06	$5,949.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $743.69 / $743.69	Facility		$743.69	$743.69	$743.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,413.00 / $1,487.37 / $4,090.27	Professional		$1,413.00	$1,487.37	$4,090.27
United Facility/Professional Professional Modifier Low / Median / High Price $669.32 / $2,974.74 / $4,487.71	Professional		$669.32	$2,974.74	$4,487.71