Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.46 / $3,480.06 / $5,437.60	Facility		$1,926.46	$3,480.06	$5,437.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,169.34 / $3,480.06 / $5,359.92	Professional		$3,169.34	$3,480.06	$5,359.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,281.11 / $1,281.11 / $1,281.11	Facility		$1,281.11	$1,281.11	$1,281.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $533.17 / $666.48	Professional		$533.17	$533.17	$666.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $352.46 / $556.51	Facility		$278.26	$352.46	$556.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.76 / $463.76 / $1,855.04	Professional		$463.76	$463.76	$1,855.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,715.91 / $1,715.91 / $1,855.04	Facility		$1,715.91	$1,715.91	$1,855.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.38 / $695.64 / $1,855.04	Professional		$417.38	$695.64	$1,855.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $357.10 / $904.33	Facility		$278.26	$357.10	$904.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.57 / $463.76 / $1,275.33	Professional		$440.57	$463.76	$1,275.33
United Facility/Professional Professional Modifier Low / Median / High Price $208.69 / $927.52 / $927.52	Professional		$208.69	$927.52	$927.52