Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.40 / $5,531.99 / $9,399.00	Facility		$1,186.40	$5,531.99	$9,399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,685.43 / $2,685.43 / $5,154.42	Professional		$2,685.43	$2,685.43	$5,154.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,214.46 / $2,214.46 / $2,214.46	Facility		$2,214.46	$2,214.46	$2,214.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $920.99 / $1,151.24	Professional		$178.97	$920.99	$1,151.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.82 / $583.82 / $583.82	Facility		$583.82	$583.82	$583.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $801.62 / $801.62 / $3,206.48	Professional		$801.62	$801.62	$3,206.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,796.08 / $2,965.99 / $3,206.48	Facility		$1,796.08	$2,965.99	$3,206.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.46 / $1,803.65 / $1,803.65	Professional		$721.46	$1,803.65	$1,803.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.82 / $583.82 / $2,126.21	Facility		$583.82	$583.82	$2,126.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.14 / $426.14 / $801.62	Professional		$426.14	$426.14	$801.62
United Facility/Professional Professional Modifier Low / Median / High Price $207.23 / $1,603.24 / $2,418.66	Professional		$207.23	$1,603.24	$2,418.66