Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.14 / $2,881.54 / $4,502.39	Facility		$1,595.14	$2,881.54	$4,502.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,624.26 / $2,881.54 / $4,438.08	Professional		$2,624.26	$2,881.54	$4,438.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.80 / $1,060.80 / $1,060.80	Facility		$1,060.80	$1,060.80	$1,060.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,839.55 / $1,839.55 / $1,839.55	Facility		$1,839.55	$1,839.55	$1,839.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $1,152.00 / $1,236.48	Professional		$384.00	$1,152.00	$1,236.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,420.80 / $1,420.80 / $1,536.00	Facility		$1,420.80	$1,420.80	$1,536.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $864.00 / $864.00	Professional		$345.60	$864.00	$864.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,060.80 / $1,478.40 / $1,839.55	Facility		$1,060.80	$1,478.40	$1,839.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $528.00 / $528.00	Professional		$528.00	$528.00	$528.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $384.00 / $579.29	Professional		$192.00	$384.00	$579.29