Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,732.09 / $6,732.09 / $6,732.09	Facility		$6,732.09	$6,732.09	$6,732.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,178.93 / $5,178.93 / $5,178.93	Professional		$5,178.93	$5,178.93	$5,178.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,940.16	Professional		$2,784.38	$2,784.38	$3,940.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $5,178.93 / $7,250.52	Facility		$530.00	$5,178.93	$7,250.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,452.63	Professional		$2,784.38	$2,784.38	$3,452.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.78 / $404.96 / $3,495.87	Facility		$141.78	$404.96	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $278.41 / $303.72	Professional		$210.07	$278.41	$303.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.20 / $5,178.93 / $7,250.52	Facility		$506.20	$5,178.93	$7,250.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $253.10 / $3,020.79	Professional		$115.68	$253.10	$3,020.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,176.57 / $4,253.72 / $8,353.14	Professional		$4,176.57	$4,253.72	$8,353.14