Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,867.46 / $5,179.93 / $8,093.65	Facility		$2,867.46	$5,179.93	$8,093.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,717.43 / $5,179.93 / $7,978.02	Professional		$4,717.43	$5,179.93	$7,978.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,906.93 / $1,906.93 / $1,906.93	Facility		$1,906.93	$1,906.93	$1,906.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,306.83 / $3,306.83 / $3,306.83	Facility		$3,306.83	$3,306.83	$3,306.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $690.29 / $2,222.73	Professional		$690.29	$690.29	$2,222.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,416.02 / $2,554.07 / $2,761.16	Facility		$2,416.02	$2,554.07	$2,761.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.26 / $1,553.15 / $1,553.15	Professional		$621.26	$1,553.15	$1,553.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,906.93 / $2,554.07 / $3,306.83	Facility		$1,906.93	$2,554.07	$3,306.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,898.30 / $1,898.30 / $1,898.30	Professional		$1,898.30	$1,898.30	$1,898.30
United Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $1,380.58 / $2,082.75	Professional		$690.29	$1,380.58	$2,082.75