Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.40 / $5,382.78 / $9,145.50	Facility		$1,154.40	$5,382.78	$9,145.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,613.00 / $2,613.00 / $5,015.39	Professional		$2,613.00	$2,613.00	$5,015.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,154.75 / $2,154.75 / $2,154.75	Facility		$2,154.75	$2,154.75	$2,154.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,736.59 / $3,736.59 / $3,736.59	Facility		$3,736.59	$3,736.59	$3,736.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $2,511.60	Professional		$780.00	$780.00	$2,511.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,730.00 / $2,886.00 / $3,120.00	Facility		$2,730.00	$2,886.00	$3,120.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $1,755.00 / $1,755.00	Professional		$702.00	$1,755.00	$1,755.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,154.75 / $2,886.00 / $3,736.59	Facility		$2,154.75	$2,886.00	$3,736.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $2,145.00 / $2,145.00	Professional		$702.00	$2,145.00	$2,145.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,560.00 / $2,353.42	Professional		$780.00	$1,560.00	$2,353.42