Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $25,878.80 / $43,968.80	Facility		$5,550.00	$25,878.80	$43,968.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,562.50 / $12,562.50 / $24,112.50	Professional		$12,562.50	$12,562.50	$24,112.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,359.37 / $10,359.37 / $10,359.37	Facility		$10,359.37	$10,359.37	$10,359.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,964.38 / $17,964.38 / $17,964.38	Facility		$17,964.38	$17,964.38	$17,964.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,375.00 / $11,250.00 / $12,075.00	Professional		$3,375.00	$11,250.00	$12,075.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,125.00 / $13,875.00 / $15,000.00	Facility		$13,125.00	$13,875.00	$15,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,375.00 / $8,437.50 / $8,437.50	Professional		$3,375.00	$8,437.50	$8,437.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,359.37 / $13,875.00 / $17,964.38	Facility		$10,359.37	$13,875.00	$17,964.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,375.00 / $10,312.50 / $10,312.50	Professional		$3,375.00	$10,312.50	$10,312.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,920.30 / $7,500.00 / $11,314.54	Professional		$2,920.30	$7,500.00	$11,314.54