Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	26	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,951.21	Professional		$1,513.56	$1,621.81	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Professional		$2,951.21	$2,951.21	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $9,772.37	Professional		$2,398.83	$3,981.07	$9,772.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $7,943.28	Professional		$5,011.87	$5,495.41	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $4,365.16	Professional		$1,318.26	$1,905.46	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $6,309.57	Professional		$2,238.72	$3,311.31	$6,309.57