Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,003.01 / $14,152.00 / $14,152.00	Facility		$4,003.01	$14,152.00	$14,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,485.96 / $4,043.44	Professional		$2,396.11	$2,485.96	$4,043.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.08 / $4,043.44 / $5,782.12	Facility		$419.08	$4,043.44	$5,782.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $314.45 / $314.45	Professional		$220.12	$314.45	$314.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,193.20 / $4,193.20 / $6,589.31	Facility		$4,193.20	$4,193.20	$6,589.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,995.14 / $3,594.17 / $3,594.17	Professional		$2,995.14	$3,594.17	$3,594.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.80 / $4,043.44 / $5,990.28	Facility		$455.80	$4,043.44	$5,990.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $3,594.17	Professional		$2,545.87	$2,545.87	$3,594.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,645.71 / $3,743.93 / $7,487.85	Professional		$2,645.71	$3,743.93	$7,487.85