Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $27,542.29 / $47,863.01	Facility		$5,754.40	$27,542.29	$47,863.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $12,882.50	Professional		$3,162.28	$3,715.35	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $17,378.01	Facility		$3,890.45	$3,890.45	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $12,589.25	Professional		$3,715.35	$3,890.45	$12,589.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $14,454.40 / $15,488.17	Facility		$3,890.45	$14,454.40	$15,488.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $10,715.19 / $18,620.87	Facility		$3,090.30	$10,715.19	$18,620.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $3,467.37	Professional		$1,949.84	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $7,762.47 / $11,748.98	Professional		$2,344.23	$7,762.47	$11,748.98