Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.73 / $3,075.90 / $4,806.10	Facility		$1,702.73	$3,075.90	$4,806.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,801.27 / $3,075.90 / $4,737.43	Professional		$2,801.27	$3,075.90	$4,737.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.36 / $1,132.36 / $1,132.36	Facility		$1,132.36	$1,132.36	$1,132.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,963.63 / $1,963.63 / $1,963.63	Facility		$1,963.63	$1,963.63	$1,963.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $409.90 / $1,319.88	Professional		$409.90	$409.90	$1,319.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.65 / $1,516.63 / $1,639.60	Facility		$1,434.65	$1,516.63	$1,639.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.91 / $922.28 / $922.28	Professional		$368.91	$922.28	$922.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.36 / $1,516.63 / $1,963.63	Facility		$1,132.36	$1,516.63	$1,963.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.91 / $1,127.23 / $1,127.23	Professional		$409.91	$1,127.23	$1,127.23
United Facility/Professional Professional Modifier Low / Median / High Price $455.45 / $910.90 / $1,236.75	Professional		$455.45	$910.90	$1,236.75