Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,205.67 / $2,205.67 / $2,205.67	Facility		$2,205.67	$2,205.67	$2,205.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,526.32 / $2,526.32 / $4,353.83	Professional		$2,526.32	$2,526.32	$4,353.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,067.62 / $2,067.62 / $2,439.37	Professional		$2,067.62	$2,067.62	$2,439.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,612.64 / $3,612.64 / $3,612.64	Facility		$3,612.64	$3,612.64	$3,612.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.60 / $2,322.15 / $4,187.75	Professional		$1,014.60	$2,322.15	$4,187.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,670.00 / $3,169.80 / $6,514.80	Professional		$2,670.00	$3,169.80	$6,514.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,461.06 / $3,461.06 / $3,612.64	Facility		$3,461.06	$3,461.06	$3,612.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,473.42 / $2,935.00 / $5,874.00	Professional		$1,473.42	$2,935.00	$5,874.00
United Facility/Professional Professional Modifier Low / Median / High Price $903.08 / $2,927.25 / $11,166.87	Professional		$903.08	$2,927.25	$11,166.87