Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,031.00 / $3,031.00 / $3,031.00	Professional		$3,031.00	$3,031.00	$3,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.58 / $1,145.58 / $1,346.39	Professional		$1,145.58	$1,145.58	$1,346.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.33 / $4,334.33 / $4,334.33	Facility		$4,334.33	$4,334.33	$4,334.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.95 / $419.95 / $599.92	Professional		$419.95	$419.95	$599.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,578.75 / $1,780.65 / $2,435.73	Professional		$1,578.75	$1,780.65	$2,435.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,334.33 / $4,334.33 / $4,334.33	Facility		$4,334.33	$4,334.33	$4,334.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.92 / $1,648.75 / $2,885.96	Professional		$599.92	$1,648.75	$2,885.96
United Facility/Professional Professional Modifier Low / Median / High Price $931.42 / $3,278.76 / $5,153.91	Professional		$931.42	$3,278.76	$5,153.91