Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,752.35 / $4,572.46 / $7,768.74	Facility		$2,752.35	$4,572.46	$7,768.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,219.64 / $2,219.64 / $2,219.64	Professional		$2,219.64	$2,219.64	$2,219.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,830.39 / $1,830.39 / $1,830.39	Facility		$1,830.39	$1,830.39	$1,830.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $536.69 / $821.60	Facility		$440.62	$536.69	$821.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $662.58 / $662.58 / $2,650.32	Professional		$662.58	$662.58	$2,650.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.55 / $2,451.55 / $2,650.32	Facility		$2,451.55	$2,451.55	$2,650.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.32 / $993.87 / $2,650.32	Professional		$596.32	$993.87	$2,650.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $543.32 / $1,212.52	Facility		$440.62	$543.32	$1,212.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $629.45 / $695.71 / $2,650.32	Professional		$629.45	$695.71	$2,650.32
United Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $1,325.16 / $1,999.14	Professional		$298.16	$1,325.16	$1,999.14