Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $6,025.60	Professional		$3,715.35	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,709.64 / $21,379.62	Facility		$6,025.60	$8,709.64	$21,379.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $562.34 / $6,025.60	Professional		$60.26	$562.34	$6,025.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $10,000.00	Facility		$4,168.69	$6,309.57	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,709.64	Facility		$6,025.60	$6,025.60	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $389.05 / $3,801.89	Professional		$60.26	$389.05	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $10,471.29	Professional		$3,715.35	$5,623.41	$10,471.29