Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.46 / $3,057.35 / $4,777.12	Facility		$1,692.46	$3,057.35	$4,777.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $3,057.35 / $4,708.87	Professional		$2,784.38	$3,057.35	$4,708.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,125.53 / $1,125.53 / $1,125.53	Facility		$1,125.53	$1,125.53	$1,125.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,951.79 / $1,951.79 / $1,951.79	Facility		$1,951.79	$1,951.79	$1,951.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $407.43 / $1,311.92	Professional		$221.87	$407.43	$1,311.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.01 / $1,507.49 / $1,629.72	Facility		$1,426.01	$1,507.49	$1,629.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $916.72 / $916.72	Professional		$366.69	$916.72	$916.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,125.53 / $1,507.49 / $1,951.79	Facility		$1,125.53	$1,507.49	$1,951.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $1,120.43 / $1,120.43	Professional		$221.87	$1,120.43	$1,120.43
United Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $493.04 / $743.80	Professional		$246.52	$493.04	$743.80