Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,169.60 / $38,093.50 / $64,722.00	Facility		$8,169.60	$38,093.50	$64,722.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,492.00 / $18,492.00 / $18,492.00	Professional		$18,492.00	$18,492.00	$18,492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,041.81 / $15,041.81 / $15,041.81	Facility		$15,041.81	$15,041.81	$15,041.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,861.00 / $2,861.00 / $6,055.89	Professional		$2,861.00	$2,861.00	$6,055.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26,443.56 / $26,443.56 / $26,443.56	Facility		$26,443.56	$26,443.56	$26,443.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,445.00 / $16,335.00 / $24,502.50	Professional		$5,445.00	$16,335.00	$24,502.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,250.00 / $20,146.50 / $21,780.00	Facility		$19,250.00	$20,146.50	$21,780.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,950.00 / $12,375.00 / $12,375.00	Professional		$4,950.00	$12,375.00	$12,375.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15,041.81 / $20,350.00 / $26,443.56	Facility		$15,041.81	$20,350.00	$26,443.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,861.00 / $15,125.00 / $15,125.00	Professional		$2,861.00	$15,125.00	$15,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,500.00 / $16,594.66 / $16,594.66	Professional		$5,500.00	$16,594.66	$16,594.66