Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $13,489.63	Facility		$2,570.40	$4,570.88	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $3,890.45	Professional		$933.25	$1,122.02	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $5,248.07	Facility		$1,148.15	$1,148.15	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $3,715.35	Professional		$1,122.02	$1,148.15	$3,715.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $4,677.35	Facility		$1,148.15	$4,265.80	$4,677.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $5,495.41	Facility		$933.25	$3,235.94	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,344.23 / $3,467.37	Professional		$691.83	$2,344.23	$3,467.37