Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.08 / $3,111.73 / $5,286.93	Facility		$1,873.08	$3,111.73	$5,286.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.55 / $1,510.55 / $1,510.55	Professional		$1,510.55	$1,510.55	$1,510.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,245.63 / $1,245.63 / $1,245.63	Facility		$1,245.63	$1,245.63	$1,245.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.09 / $2,160.09 / $2,160.09	Facility		$2,160.09	$2,160.09	$2,160.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $1,451.93	Professional		$450.91	$450.91	$1,451.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,578.19 / $1,668.37 / $1,803.64	Facility		$1,578.19	$1,668.37	$1,803.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $1,014.55 / $1,014.55	Professional		$405.82	$1,014.55	$1,014.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.63 / $1,668.37 / $2,160.09	Facility		$1,245.63	$1,668.37	$2,160.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $1,240.00 / $1,240.00	Professional		$1,240.00	$1,240.00	$1,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $901.82 / $1,360.49	Professional		$450.91	$901.82	$1,360.49