Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,964.78 / $16,595.87	Facility		$2,818.38	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $5,248.07	Professional		$1,047.13	$1,380.38	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,884.03	Professional		$1,148.15	$1,148.15	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $5,248.07	Facility		$1,071.52	$1,174.90	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $5,248.07	Professional		$2,137.96	$2,570.40	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $5,248.07	Professional		$3,019.95	$3,890.45	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $7,413.10	Facility		$1,071.52	$1,230.27	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $812.83 / $2,884.03	Professional		$60.26	$812.83	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,079.46	Professional		$1,000.00	$2,187.76	$7,079.46