Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,083.38 / $5,569.98 / $8,703.10	Facility		$3,083.38	$5,569.98	$8,703.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,072.66 / $5,569.98 / $8,578.77	Professional		$5,072.66	$5,569.98	$8,578.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.54 / $2,050.54 / $2,050.54	Facility		$2,050.54	$2,050.54	$2,050.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,555.84 / $3,555.84 / $3,555.84	Facility		$3,555.84	$3,555.84	$3,555.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $2,390.11	Professional		$742.27	$742.27	$2,390.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,597.94 / $2,746.40 / $2,969.08	Facility		$2,597.94	$2,746.40	$2,969.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $1,670.11 / $1,670.11	Professional		$668.04	$1,670.11	$1,670.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,050.54 / $2,746.40 / $3,555.84	Facility		$2,050.54	$2,746.40	$3,555.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.24 / $2,041.24 / $2,041.24	Professional		$2,041.24	$2,041.24	$2,041.24
United Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $1,484.54 / $2,239.58	Professional		$742.27	$1,484.54	$2,239.58