Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.14 / $1,166.14 / $1,166.14	Facility		$1,166.14	$1,166.14	$1,166.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.67 / $1,335.67 / $2,338.10	Professional		$1,335.67	$1,335.67	$2,338.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.85 / $1,081.85 / $1,278.82	Professional		$1,081.85	$1,081.85	$1,278.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.01 / $1,910.01 / $1,910.01	Facility		$1,910.01	$1,910.01	$1,910.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.17 / $1,243.08 / $2,241.75	Professional		$538.17	$1,243.08	$2,241.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.25 / $1,707.75 / $3,455.65	Professional		$1,416.25	$1,707.75	$3,455.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,829.87 / $1,829.87 / $1,910.01	Facility		$1,829.87	$1,829.87	$1,910.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.66 / $1,581.25 / $3,115.75	Professional		$783.66	$1,581.25	$3,115.75
United Facility/Professional Professional Modifier Low / Median / High Price $459.49 / $1,534.59 / $5,854.15	Professional		$459.49	$1,534.59	$5,854.15