Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,815.10 / $3,815.10 / $3,815.10	Facility		$3,815.10	$3,815.10	$3,815.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.94 / $577.57 / $1,180.61	Professional		$448.94	$577.57	$1,180.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.64 / $1,284.64 / $1,284.64	Professional		$1,284.64	$1,284.64	$1,284.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.05 / $1,180.61 / $1,806.35	Facility		$597.05	$1,180.61	$1,806.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $709.54 / $709.54 / $1,121.34	Professional		$709.54	$709.54	$1,121.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $2,004.66 / $3,019.01	Professional		$829.50	$2,004.66	$3,019.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.57 / $1,180.61 / $1,806.35	Facility		$577.57	$1,180.61	$1,806.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $678.79 / $1,352.35 / $2,943.35	Professional		$678.79	$1,352.35	$2,943.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.11 / $1,565.77 / $2,487.26	Professional		$1,152.11	$1,565.77	$2,487.26