Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.22 / $4,668.54 / $7,931.98	Facility		$1,001.22	$4,668.54	$7,931.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,818.92 / $2,266.28 / $2,266.28	Professional		$1,818.92	$2,266.28	$2,266.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.85 / $1,868.85 / $1,868.85	Facility		$1,868.85	$1,868.85	$1,868.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,240.78 / $3,240.78 / $3,240.78	Facility		$3,240.78	$3,240.78	$3,240.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $2,029.50 / $2,178.33	Professional		$676.50	$2,029.50	$2,178.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,367.75 / $2,503.05 / $2,706.00	Facility		$2,367.75	$2,503.05	$2,706.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $1,522.13 / $1,522.13	Professional		$608.85	$1,522.13	$1,522.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,868.85 / $2,503.05 / $3,240.78	Facility		$1,868.85	$2,503.05	$3,240.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $777.92 / $777.92 / $777.92	Professional		$777.92	$777.92	$777.92
United Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $565.76 / $853.51	Professional		$282.88	$565.76	$853.51