Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,719.03 / $34,360.19 / $34,360.19	Facility		$9,719.03	$34,360.19	$34,360.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,662.50 / $6,035.76 / $9,817.20	Professional		$5,662.50	$6,035.76	$9,817.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.16 / $9,817.20 / $14,038.60	Facility		$1,207.16	$9,817.20	$14,038.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $739.81 / $1,056.88 / $1,056.88	Professional		$739.81	$1,056.88	$1,056.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,326.45 / $9,326.45 / $14,655.87	Facility		$9,326.45	$9,326.45	$14,655.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,661.76 / $7,994.11 / $7,994.11	Professional		$6,661.76	$7,994.11	$7,994.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.16 / $9,817.20 / $14,038.60	Facility		$1,207.16	$9,817.20	$14,038.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,056.88 / $6,661.76 / $7,994.11	Professional		$1,056.88	$6,661.76	$7,994.11
United Facility/Professional Professional Modifier Low / Median / High Price $6,423.60 / $9,090.00 / $18,180.00	Professional		$6,423.60	$9,090.00	$18,180.00