Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,936.47 / $3,498.14 / $5,465.85	Facility		$1,936.47	$3,498.14	$5,465.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,185.81 / $3,498.14 / $5,387.76	Professional		$3,185.81	$3,498.14	$5,387.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,287.79 / $1,287.79 / $1,287.79	Facility		$1,287.79	$1,287.79	$1,287.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,233.19 / $2,233.19 / $2,233.19	Facility		$2,233.19	$2,233.19	$2,233.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $466.17 / $1,501.07	Professional		$419.55	$466.17	$1,501.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,631.60 / $1,724.83 / $1,864.68	Facility		$1,631.60	$1,724.83	$1,864.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $1,048.88 / $1,048.88	Professional		$419.55	$1,048.88	$1,048.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,287.79 / $1,724.83 / $2,233.19	Facility		$1,287.79	$1,724.83	$2,233.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $1,281.97 / $1,281.97	Professional		$419.55	$1,281.97	$1,281.97
United Facility/Professional Professional Modifier Low / Median / High Price $932.34 / $932.34 / $1,406.53	Professional		$932.34	$932.34	$1,406.53