Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,108.82 / $5,615.93 / $8,774.89	Facility		$3,108.82	$5,615.93	$8,774.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,114.50 / $5,615.93 / $8,649.53	Professional		$5,114.50	$5,615.93	$8,649.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,067.41 / $2,067.41 / $2,067.41	Facility		$2,067.41	$2,067.41	$2,067.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.17 / $3,585.17 / $3,585.17	Facility		$3,585.17	$3,585.17	$3,585.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $748.39 / $2,409.82	Professional		$748.39	$748.39	$2,409.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.37 / $2,769.04 / $2,993.56	Facility		$2,619.37	$2,769.04	$2,993.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.55 / $1,683.88 / $1,683.88	Professional		$673.55	$1,683.88	$1,683.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,067.41 / $2,769.04 / $3,585.17	Facility		$2,067.41	$2,769.04	$3,585.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,058.07 / $2,058.07 / $2,058.07	Professional		$2,058.07	$2,058.07	$2,058.07
United Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $1,496.78 / $2,258.05	Professional		$748.39	$1,496.78	$2,258.05