Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.32 / $6,074.88 / $6,074.88	Facility		$1,718.32	$6,074.88	$6,074.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,067.11 / $1,735.68	Professional		$1,028.55	$1,067.11	$1,735.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.19 / $1,735.68 / $2,482.02	Facility		$744.19	$1,735.68	$2,482.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $904.07 / $1,291.53 / $1,291.53	Professional		$904.07	$1,291.53	$1,291.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.97 / $1,799.97 / $2,828.52	Facility		$1,799.97	$1,799.97	$2,828.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.69 / $1,542.83 / $1,542.83	Professional		$1,285.69	$1,542.83	$1,542.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.19 / $1,735.68 / $2,571.38	Facility		$744.19	$1,735.68	$2,571.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,285.69 / $1,542.83	Professional		$1,092.83	$1,285.69	$1,542.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,607.12 / $3,214.23	Professional		$1,135.69	$1,607.12	$3,214.23