Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $24,843.60 / $42,210.00	Facility		$5,328.00	$24,843.60	$42,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,060.00 / $12,060.00 / $12,060.00	Professional		$12,060.00	$12,060.00	$12,060.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,945.00 / $9,945.00 / $9,945.00	Facility		$9,945.00	$9,945.00	$9,945.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.67 / $1,872.67 / $3,963.87	Professional		$1,872.67	$1,872.67	$3,963.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,245.80 / $17,245.80 / $17,245.80	Facility		$17,245.80	$17,245.80	$17,245.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $10,800.00 / $16,200.00	Professional		$3,600.00	$10,800.00	$16,200.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,600.00 / $13,320.00 / $14,400.00	Facility		$12,600.00	$13,320.00	$14,400.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $8,100.00 / $8,100.00	Professional		$3,240.00	$8,100.00	$8,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,945.00 / $13,320.00 / $17,245.80	Facility		$9,945.00	$13,320.00	$17,245.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,872.67 / $9,900.00 / $9,900.00	Professional		$1,872.67	$9,900.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $7,200.00 / $10,861.96	Professional		$3,600.00	$7,200.00	$10,861.96