Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $13,489.63 / $13,489.63	Professional		$10,232.93	$13,489.63	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,248.07	Professional		$4,365.16	$5,128.61	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,623.41 / $10,000.00	Facility		$1,230.27	$5,623.41	$10,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $8,128.31 / $13,489.63	Professional		$60.26	$8,128.31	$13,489.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $12,589.25	Facility		$1,122.02	$1,258.93	$12,589.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $12,589.25	Professional		$1,023.29	$2,570.40	$12,589.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $10,715.19	Facility		$4,786.30	$7,079.46	$10,715.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $4,365.16 / $5,248.07	Professional		$60.26	$4,365.16	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $5,623.41	Facility		$426.58	$851.14	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,128.31 / $14,791.08	Professional		$4,265.80	$8,128.31	$14,791.08