Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.81 / $3,617.98 / $5,653.10	Facility		$2,002.81	$3,617.98	$5,653.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,294.95 / $3,617.98 / $5,572.34	Professional		$3,294.95	$3,617.98	$5,572.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,331.91 / $1,331.91 / $1,331.91	Facility		$1,331.91	$1,331.91	$1,331.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,309.69 / $2,309.69 / $2,309.69	Facility		$2,309.69	$2,309.69	$2,309.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $482.14 / $1,552.49	Professional		$482.14	$482.14	$1,552.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,687.49 / $1,783.92 / $1,928.56	Facility		$1,687.49	$1,783.92	$1,928.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $1,084.82 / $1,084.82	Professional		$433.93	$1,084.82	$1,084.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,331.91 / $1,783.92 / $2,309.69	Facility		$1,331.91	$1,783.92	$2,309.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,325.89 / $1,325.89 / $1,325.89	Professional		$1,325.89	$1,325.89	$1,325.89
United Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $414.62 / $625.50	Professional		$207.31	$414.62	$625.50