Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.51 / $3,059.29 / $5,197.81	Facility		$1,841.51	$3,059.29	$5,197.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,485.09 / $1,485.09 / $1,485.09	Professional		$1,485.09	$1,485.09	$1,485.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.64 / $1,224.64 / $1,224.64	Facility		$1,224.64	$1,224.64	$1,224.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.67 / $2,123.67 / $2,123.67	Facility		$2,123.67	$2,123.67	$2,123.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $443.31 / $1,427.46	Professional		$443.31	$443.31	$1,427.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.25 / $1,640.25 / $1,773.24	Facility		$1,640.25	$1,640.25	$1,773.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $997.45 / $997.45	Professional		$398.98	$997.45	$997.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,224.64 / $1,706.74 / $2,123.67	Facility		$1,224.64	$1,706.74	$2,123.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,219.09 / $1,219.09 / $1,219.09	Professional		$1,219.09	$1,219.09	$1,219.09
United Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $886.62 / $1,337.56	Professional		$443.31	$886.62	$1,337.56