Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,238.13 / $17,238.13 / $17,238.13	Facility		$17,238.13	$17,238.13	$17,238.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.06 / $1,673.78 / $1,673.78	Professional		$1,029.06	$1,673.78	$1,673.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,239.83 / $1,673.78 / $2,343.29	Facility		$1,239.83	$1,673.78	$2,343.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.68 / $1,688.12 / $7,691.46	Professional		$1,048.68	$1,688.12	$7,691.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,791.53 / $2,597.76 / $3,495.87	Facility		$1,791.53	$2,597.76	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.76 / $1,298.88 / $1,416.96	Professional		$1,121.76	$1,298.88	$1,416.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.83 / $1,841.16 / $3,397.72	Facility		$1,239.83	$1,841.16	$3,397.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,346.11 / $1,416.96	Professional		$1,053.85	$1,346.11	$1,416.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,549.80 / $1,549.80 / $3,099.60	Professional		$1,549.80	$1,549.80	$3,099.60