Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,563.85 / $9,285.00 / $14,552.94	Facility		$2,563.85	$9,285.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.01 / $907.47 / $4,924.41	Professional		$779.01	$907.47	$4,924.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,976.80 / $1,976.80 / $2,947.10	Professional		$1,976.80	$1,976.80	$2,947.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.31 / $1,304.56 / $7,041.91	Facility		$1,082.31	$1,304.56	$7,041.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,145.38 / $2,574.44 / $6,193.84	Professional		$2,145.38	$2,574.44	$6,193.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,201.25 / $3,589.65 / $4,854.99	Professional		$3,201.25	$3,589.65	$4,854.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,304.56 / $1,304.56 / $7,041.91	Facility		$1,304.56	$1,304.56	$7,041.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,073.00 / $4,197.60 / $5,780.25	Professional		$1,073.00	$4,197.60	$5,780.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.33 / $2,357.67 / $7,139.43	Professional		$1,098.33	$2,357.67	$7,139.43