Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.84 / $3,206.16 / $5,009.62	Facility		$1,774.84	$3,206.16	$5,009.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,919.89 / $3,206.16 / $4,938.05	Professional		$2,919.89	$3,206.16	$4,938.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,180.31 / $1,180.31 / $1,180.31	Facility		$1,180.31	$1,180.31	$1,180.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,046.79 / $2,046.79 / $2,046.79	Facility		$2,046.79	$2,046.79	$2,046.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $427.26 / $1,375.78	Professional		$384.53	$427.26	$1,375.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.41 / $1,580.86 / $1,709.04	Facility		$1,495.41	$1,580.86	$1,709.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $961.34 / $961.34	Professional		$384.53	$961.34	$961.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,180.31 / $1,580.86 / $2,046.79	Facility		$1,180.31	$1,580.86	$2,046.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $1,174.97 / $1,174.97	Professional		$384.53	$1,174.97	$1,174.97
United Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $854.52 / $1,289.13	Professional		$427.26	$854.52	$1,289.13