Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,492.40 / $4,140.60 / $7,035.00	Facility		$2,492.40	$4,140.60	$7,035.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.00 / $2,010.00 / $2,010.00	Professional		$2,010.00	$2,010.00	$2,010.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.50 / $1,657.50 / $1,657.50	Facility		$1,657.50	$1,657.50	$1,657.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,874.30 / $2,874.30 / $2,874.30	Facility		$2,874.30	$2,874.30	$2,874.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,932.00	Professional		$600.00	$600.00	$1,932.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $2,220.00 / $2,400.00	Facility		$2,100.00	$2,220.00	$2,400.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $1,350.00 / $1,350.00	Professional		$540.00	$1,350.00	$1,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,657.50 / $2,220.00 / $2,874.30	Facility		$1,657.50	$2,220.00	$2,874.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $828.71 / $828.71	Professional		$600.00	$828.71	$828.71
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $602.70 / $909.24	Professional		$301.35	$602.70	$909.24