Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $2,630.27	Professional		$1,000.00	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,819.70 / $3,162.28	Professional		$912.01	$1,819.70	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,949.84	Facility		$794.33	$1,202.26	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $5,370.32	Professional		$2,344.23	$2,691.53	$5,370.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $5,370.32	Professional		$3,388.44	$3,630.78	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,949.84	Facility		$851.14	$1,071.52	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,862.09 / $2,511.89	Professional		$912.01	$1,862.09	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $5,011.87	Professional		$2,344.23	$2,398.83	$5,011.87