Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,922.68 / $6,797.35	Facility		$1,236.00	$1,922.68	$6,797.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.58 / $1,943.98 / $3,312.23	Professional		$1,054.58	$1,943.98	$3,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,779.89 / $2,779.89 / $2,779.89	Facility		$2,779.89	$2,779.89	$2,779.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $3,365.38	Professional		$1,045.15	$1,045.15	$3,365.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.45 / $2,217.60 / $3,484.80	Facility		$1,550.45	$2,217.60	$3,484.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,594.54 / $2,779.89 / $5,227.20	Facility		$1,594.54	$2,779.89	$5,227.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,133.89	Professional		$1,045.15	$1,045.15	$1,133.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,567.73 / $2,108.28	Professional		$1,045.15	$1,567.73	$2,108.28