Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.12 / $3,777.51 / $5,902.37	Facility		$2,091.12	$3,777.51	$5,902.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,440.24 / $3,777.51 / $5,818.05	Professional		$3,440.24	$3,777.51	$5,818.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.64 / $1,390.64 / $1,390.64	Facility		$1,390.64	$1,390.64	$1,390.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $578.20 / $722.75	Professional		$578.20	$578.20	$722.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $392.65 / $604.08	Facility		$302.04	$392.65	$604.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $503.40 / $2,013.60	Professional		$503.40	$503.40	$2,013.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,761.90 / $1,862.58 / $2,013.60	Facility		$1,761.90	$1,862.58	$2,013.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.06 / $755.10 / $2,013.60	Professional		$453.06	$755.10	$2,013.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $392.65 / $981.63	Facility		$302.04	$392.65	$981.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.23 / $503.40 / $1,384.35	Professional		$478.23	$503.40	$1,384.35
United Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $1,006.80 / $1,518.86	Professional		$226.53	$1,006.80	$1,518.86