Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,701.32 / $4,879.80 / $7,624.68	Facility		$2,701.32	$4,879.80	$7,624.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,444.10 / $4,879.80 / $7,515.76	Professional		$4,444.10	$4,879.80	$7,515.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $1,770.00 / $1,770.00	Facility		$1,770.00	$1,770.00	$1,770.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $668.63 / $835.78	Professional		$668.63	$668.63	$835.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.28 / $518.99 / $800.91	Facility		$421.28	$518.99	$800.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $640.73 / $2,562.92	Professional		$640.73	$640.73	$2,562.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,370.69 / $2,370.69 / $2,562.92	Facility		$2,370.69	$2,370.69	$2,562.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.66 / $961.10 / $2,562.92	Professional		$576.66	$961.10	$2,562.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.88 / $518.99 / $1,172.54	Facility		$422.88	$518.99	$1,172.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.69 / $672.77 / $2,562.92	Professional		$608.69	$672.77	$2,562.92
United Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $1,281.46 / $1,933.22	Professional		$288.33	$1,281.46	$1,933.22