Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.99 / $4,686.13 / $7,961.87	Facility		$1,004.99	$4,686.13	$7,961.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.99 / $2,274.82 / $2,274.82	Professional		$1,004.99	$2,274.82	$2,274.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,602.17 / $3,602.17 / $3,602.17	Facility		$3,602.17	$3,602.17	$3,602.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.36 / $1,498.36 / $1,872.96	Professional		$1,498.36	$1,498.36	$1,872.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.33 / $831.33 / $831.33	Facility		$831.33	$831.33	$831.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $5,215.80	Professional		$1,303.95	$1,303.95	$5,215.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,376.67 / $4,824.62 / $5,215.80	Facility		$2,376.67	$4,824.62	$5,215.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.15 / $1,397.22 / $3,353.32	Professional		$611.15	$1,397.22	$3,353.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.33 / $831.33 / $831.33	Facility		$831.33	$831.33	$831.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $950.11 / $1,867.39	Professional		$679.05	$950.11	$1,867.39
United Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $1,358.10 / $2,048.84	Professional		$419.17	$1,358.10	$2,048.84