Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.45 / $3,514.36 / $5,491.19	Facility		$1,945.45	$3,514.36	$5,491.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,200.58 / $3,514.36 / $5,412.74	Professional		$3,200.58	$3,514.36	$5,412.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.74 / $1,293.74 / $1,293.74	Facility		$1,293.74	$1,293.74	$1,293.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,243.54 / $2,243.54 / $2,243.54	Facility		$2,243.54	$2,243.54	$2,243.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $468.33 / $1,508.02	Professional		$468.33	$468.33	$1,508.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,639.16 / $1,732.82 / $1,873.32	Facility		$1,639.16	$1,732.82	$1,873.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $1,053.74 / $1,053.74	Professional		$421.50	$1,053.74	$1,053.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,293.74 / $1,732.82 / $2,243.54	Facility		$1,293.74	$1,732.82	$2,243.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,287.91 / $1,287.91 / $1,287.91	Professional		$1,287.91	$1,287.91	$1,287.91
United Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $936.66 / $1,413.05	Professional		$468.33	$936.66	$1,413.05