Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,100.00 / $8,100.00 / $8,100.00	Professional		$8,100.00	$8,100.00	$8,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $8,100.00 / $11,583.00	Facility		$6,000.00	$8,100.00	$11,583.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,400.00 / $8,400.00 / $13,200.00	Facility		$8,400.00	$8,400.00	$13,200.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,200.00 / $7,200.00 / $7,200.00	Professional		$7,200.00	$7,200.00	$7,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $11,340.00 / $12,000.00	Facility		$6,000.00	$11,340.00	$12,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $6,840.00 / $7,200.00	Professional		$5,100.00	$6,840.00	$7,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $10,086.00	Professional		$7,500.00	$7,500.00	$10,086.00