Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,515.40 / $5,840.10 / $9,922.50	Facility		$3,515.40	$5,840.10	$9,922.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,835.00 / $2,835.00 / $2,835.00	Professional		$2,835.00	$2,835.00	$2,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,337.84 / $2,337.84 / $2,337.84	Facility		$2,337.84	$2,337.84	$2,337.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,054.05 / $4,054.05 / $4,054.05	Facility		$4,054.05	$4,054.05	$4,054.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $2,724.99	Professional		$846.27	$846.27	$2,724.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,131.20 / $3,131.20 / $3,385.08	Facility		$3,131.20	$3,131.20	$3,385.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,904.11 / $1,904.11	Professional		$761.64	$1,904.11	$1,904.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,337.84 / $3,258.14 / $4,054.05	Facility		$2,337.84	$3,258.14	$4,054.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,327.23 / $2,327.23 / $2,327.23	Professional		$2,327.23	$2,327.23	$2,327.23
United Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,692.54 / $2,553.37	Professional		$846.27	$1,692.54	$2,553.37