Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,483.71 / $4,126.18 / $7,010.50	Facility		$2,483.71	$4,126.18	$7,010.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,003.00 / $2,003.00 / $2,003.00	Professional		$2,003.00	$2,003.00	$2,003.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,651.72 / $1,651.72 / $1,651.72	Facility		$1,651.72	$1,651.72	$1,651.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,864.29 / $2,864.29 / $2,864.29	Facility		$2,864.29	$2,864.29	$2,864.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $597.91 / $1,925.27	Professional		$538.12	$597.91	$1,925.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,092.69 / $2,212.27 / $2,391.64	Facility		$2,092.69	$2,212.27	$2,391.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $1,345.30 / $1,345.30	Professional		$538.12	$1,345.30	$1,345.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,651.72 / $2,212.27 / $2,864.29	Facility		$1,651.72	$2,212.27	$2,864.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $1,644.25 / $1,644.25	Professional		$538.12	$1,644.25	$1,644.25
United Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $1,195.82 / $1,804.02	Professional		$597.91	$1,195.82	$1,804.02