Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,968.00 / $4,968.00 / $4,968.00	Professional		$4,968.00	$4,968.00	$4,968.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $4,968.00 / $6,955.20	Facility		$530.00	$4,968.00	$6,955.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $689.00 / $927.50	Professional		$689.00	$689.00	$927.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.40 / $2,281.60 / $3,495.87	Facility		$1,996.40	$2,281.60	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.09 / $1,568.60 / $1,711.20	Professional		$1,212.09	$1,568.60	$1,711.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $4,968.00 / $6,955.20	Facility		$530.00	$4,968.00	$6,955.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,568.60 / $3,128.00	Professional		$600.00	$1,568.60	$3,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $9,738.43	Professional		$4,800.00	$4,800.00	$9,738.43