Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.21 / $3,821.04 / $5,970.37	Facility		$2,115.21	$3,821.04	$5,970.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,479.87 / $3,821.04 / $5,885.08	Professional		$3,479.87	$3,821.04	$5,885.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.67 / $1,406.67 / $1,406.67	Facility		$1,406.67	$1,406.67	$1,406.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $585.22 / $731.53	Professional		$585.22	$585.22	$731.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $397.18 / $611.04	Facility		$305.52	$397.18	$611.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.20 / $509.20 / $2,036.80	Professional		$509.20	$509.20	$2,036.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,782.20 / $1,884.04 / $2,036.80	Facility		$1,782.20	$1,884.04	$2,036.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.28 / $763.80 / $2,036.80	Professional		$458.28	$763.80	$2,036.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $397.18 / $992.94	Facility		$305.52	$397.18	$992.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $483.74 / $509.20 / $1,400.30	Professional		$483.74	$509.20	$1,400.30
United Facility/Professional Professional Modifier Low / Median / High Price $229.14 / $1,018.40 / $1,018.40	Professional		$229.14	$1,018.40	$1,018.40