Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,526.34 / $4,563.71 / $7,130.79	Facility		$2,526.34	$4,563.71	$7,130.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,156.22 / $4,563.71 / $7,028.93	Professional		$4,156.22	$4,563.71	$7,028.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,680.07 / $1,680.07 / $1,680.07	Facility		$1,680.07	$1,680.07	$1,680.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,913.44 / $2,913.44 / $2,913.44	Facility		$2,913.44	$2,913.44	$2,913.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $608.16 / $1,958.31	Professional		$608.16	$608.16	$1,958.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,250.23 / $2,250.23 / $2,432.67	Facility		$2,250.23	$2,250.23	$2,432.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $1,368.38 / $1,368.38	Professional		$547.35	$1,368.38	$1,368.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,680.07 / $2,341.44 / $2,913.44	Facility		$1,680.07	$2,341.44	$2,913.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,672.47 / $1,672.47 / $1,672.47	Professional		$1,672.47	$1,672.47	$1,672.47
United Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $1,216.33 / $1,834.98	Professional		$608.16	$1,216.33	$1,834.98