Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $37,153.52 / $58,884.37	Facility		$20,892.96	$37,153.52	$58,884.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $15,848.93	Professional		$3,890.45	$4,466.84	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $33,884.42	Facility		$4,786.30	$4,786.30	$33,884.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,786.30 / $15,488.17	Professional		$4,265.80	$4,786.30	$15,488.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $17,782.79 / $19,054.61	Facility		$4,786.30	$17,782.79	$19,054.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $13,182.57 / $22,908.68	Facility		$3,801.89	$13,182.57	$22,908.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $4,265.80	Professional		$60.26	$60.26	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $9,549.93 / $14,454.40	Professional		$2,884.03	$9,549.93	$14,454.40