Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.75 / $2,814.00 / $4,396.88	Facility		$1,557.75	$2,814.00	$4,396.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.75 / $2,814.00 / $4,334.06	Professional		$2,562.75	$2,814.00	$4,334.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.94 / $1,035.94 / $1,035.94	Facility		$1,035.94	$1,035.94	$1,035.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,796.44 / $1,796.44 / $1,796.44	Facility		$1,796.44	$1,796.44	$1,796.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $375.00 / $1,207.50	Professional		$337.50	$375.00	$1,207.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.50 / $1,387.50 / $1,500.00	Facility		$1,312.50	$1,387.50	$1,500.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $843.75 / $843.75	Professional		$337.50	$843.75	$843.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.94 / $1,387.50 / $1,796.44	Facility		$1,035.94	$1,387.50	$1,796.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $1,031.25 / $1,031.25	Professional		$337.50	$1,031.25	$1,031.25
United Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $750.00 / $1,131.45	Professional		$375.00	$750.00	$1,131.45