Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.94 / $1,641.94 / $1,641.94	Facility		$1,641.94	$1,641.94	$1,641.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $646.59 / $1,342.64	Professional		$445.75	$646.59	$1,342.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.58 / $1,394.08 / $1,792.99	Professional		$1,186.58	$1,394.08	$1,792.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.73 / $1,342.64 / $2,054.23	Facility		$515.73	$1,342.64	$2,054.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.50 / $2,064.98 / $2,791.04	Professional		$1,714.50	$2,064.98	$2,791.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $2,192.50 / $3,463.32	Professional		$933.00	$2,192.50	$3,463.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $1,342.64 / $2,054.23	Facility		$454.92	$1,342.64	$2,054.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $803.63 / $1,569.40 / $3,003.00	Professional		$803.63	$1,569.40	$3,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.40 / $1,434.62 / $2,868.80	Professional		$1,434.40	$1,434.62	$2,868.80