Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,732.04 / $26,727.60 / $45,410.90	Facility		$5,732.04	$26,727.60	$45,410.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,974.55 / $12,974.55 / $24,903.40	Professional		$12,974.55	$12,974.55	$24,903.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,699.16 / $10,699.16 / $10,699.16	Facility		$10,699.16	$10,699.16	$10,699.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.71 / $1,952.71 / $1,952.71	Professional		$1,952.71	$1,952.71	$1,952.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18,553.61 / $18,553.61 / $18,553.61	Facility		$18,553.61	$18,553.61	$18,553.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $12,471.06	Professional		$3,873.00	$3,873.00	$12,471.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,555.50 / $14,330.10 / $15,492.00	Facility		$13,555.50	$14,330.10	$15,492.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $8,714.25 / $8,714.25	Professional		$3,485.70	$8,714.25	$8,714.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,699.16 / $14,330.10 / $18,553.61	Facility		$10,699.16	$14,330.10	$18,553.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,952.71 / $10,650.75 / $10,650.75	Professional		$1,952.71	$10,650.75	$10,650.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $7,746.00 / $11,685.65	Professional		$3,873.00	$7,746.00	$11,685.65