Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $27,542.29 / $27,542.29	Facility		$4,365.16	$27,542.29	$27,542.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Professional		$4,265.80	$4,265.80	$5,128.61
Cigna 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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $4,466.84 / $10,715.19	Facility		$123.03	$4,466.84	$10,715.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $10,715.19	Professional		$4,265.80	$5,248.07	$10,715.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,606.93 / $10,232.93	Facility		$4,265.80	$6,606.93	$10,232.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $4,265.80 / $7,762.47	Facility		$64.57	$4,265.80	$7,762.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,370.32	Professional		$4,265.80	$4,265.80	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,309.57 / $12,022.64	Professional		$4,073.80	$6,309.57	$12,022.64