Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.98 / $5,310.87 / $9,023.32	Facility		$1,138.98	$5,310.87	$9,023.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.09 / $2,578.09 / $4,948.39	Professional		$2,578.09	$2,578.09	$4,948.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.98 / $2,125.98 / $2,125.98	Facility		$2,125.98	$2,125.98	$2,125.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,686.67 / $3,686.67 / $3,686.67	Facility		$3,686.67	$3,686.67	$3,686.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.58 / $2,478.05	Professional		$769.58	$769.58	$2,478.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,693.53 / $2,847.45 / $3,078.32	Facility		$2,693.53	$2,847.45	$3,078.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.62 / $1,731.56 / $1,731.56	Professional		$692.62	$1,731.56	$1,731.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,125.98 / $2,847.45 / $3,686.67	Facility		$2,125.98	$2,847.45	$3,686.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $692.62 / $2,116.35 / $2,116.35	Professional		$692.62	$2,116.35	$2,116.35
United Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $1,539.16 / $2,321.98	Professional		$769.58	$1,539.16	$2,321.98