Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.32 / $1,552.32 / $1,552.32	Facility		$1,552.32	$1,552.32	$1,552.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.99 / $1,777.99 / $3,088.02	Professional		$1,777.99	$1,777.99	$3,088.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.20 / $1,453.20 / $1,715.35	Professional		$1,453.20	$1,453.20	$1,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,542.53 / $2,542.53 / $2,542.53	Facility		$2,542.53	$2,542.53	$2,542.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $1,635.12 / $2,948.75	Professional		$712.50	$1,635.12	$2,948.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $2,243.69 / $4,575.00	Professional		$1,875.00	$2,243.69	$4,575.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,435.85 / $2,435.85 / $2,542.53	Facility		$2,435.85	$2,435.85	$2,542.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.58 / $2,077.50 / $4,125.00	Professional		$1,045.58	$2,077.50	$4,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.42 / $2,058.42 / $7,852.46	Professional		$640.42	$2,058.42	$7,852.46