Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.52 / $3,836.04 / $5,993.82	Facility		$2,123.52	$3,836.04	$5,993.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,493.54 / $3,836.04 / $5,908.19	Professional		$3,493.54	$3,836.04	$5,908.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.19 / $1,412.19 / $1,412.19	Facility		$1,412.19	$1,412.19	$1,412.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $587.29 / $734.11	Professional		$587.29	$587.29	$734.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $388.51 / $613.44	Facility		$306.72	$388.51	$613.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $511.20 / $2,044.80	Professional		$511.20	$511.20	$2,044.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,891.44 / $1,891.44 / $2,044.80	Facility		$1,891.44	$1,891.44	$2,044.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $766.80 / $2,044.80	Professional		$460.08	$766.80	$2,044.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $393.62 / $996.84	Facility		$306.72	$393.62	$996.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.64 / $511.20 / $1,405.80	Professional		$485.64	$511.20	$1,405.80
United Facility/Professional Professional Modifier Low / Median / High Price $230.04 / $1,022.40 / $1,542.40	Professional		$230.04	$1,022.40	$1,542.40