Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.52 / $2,851.52 / $4,455.50	Facility		$1,578.52	$2,851.52	$4,455.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,596.92 / $2,851.52 / $4,391.85	Professional		$2,596.92	$2,851.52	$4,391.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,049.75 / $1,049.75 / $1,049.75	Facility		$1,049.75	$1,049.75	$1,049.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.39 / $1,820.39 / $1,820.39	Facility		$1,820.39	$1,820.39	$1,820.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $1,223.59	Professional		$380.00	$380.00	$1,223.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $1,406.00 / $1,520.00	Facility		$1,330.00	$1,406.00	$1,520.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $855.00 / $855.00	Professional		$342.00	$855.00	$855.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.75 / $1,406.00 / $1,820.39	Facility		$1,049.75	$1,406.00	$1,820.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $1,045.00 / $1,045.00	Professional		$1,045.00	$1,045.00	$1,045.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $760.00 / $1,146.54	Professional		$380.00	$760.00	$1,146.54