Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,158.96 / $2,158.96 / $2,158.96	Facility		$2,158.96	$2,158.96	$2,158.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.43 / $1,765.43 / $3,848.72	Professional		$1,765.43	$1,765.43	$3,848.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.43 / $1,824.90 / $3,371.79	Professional		$910.43	$1,824.90	$3,371.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $924.29 / $924.29 / $2,524.56	Facility		$924.29	$924.29	$2,524.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,033.44 / $2,478.39 / $5,392.42	Professional		$2,033.44	$2,478.39	$5,392.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,192.50 / $3,619.35 / $5,402.59	Professional		$3,192.50	$3,619.35	$5,402.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $924.29 / $1,109.15 / $2,524.56	Facility		$924.29	$1,109.15	$2,524.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,170.91 / $2,768.13 / $5,194.80	Professional		$1,170.91	$2,768.13	$5,194.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.31 / $2,423.55 / $5,028.92	Professional		$1,638.31	$2,423.55	$5,028.92