Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.02 / $3,331.91 / $11,779.50	Facility		$1,851.02	$3,331.91	$11,779.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,827.54 / $3,364.08 / $4,218.35	Professional		$1,827.54	$3,364.08	$4,218.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,810.63 / $4,810.63 / $4,810.63	Facility		$4,810.63	$4,810.63	$4,810.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $5,823.85	Professional		$1,808.65	$1,808.65	$5,823.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,738.27 / $2,951.51 / $4,638.08	Facility		$2,738.27	$2,951.51	$4,638.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,735.30 / $4,216.43 / $6,957.13	Facility		$2,735.30	$4,216.43	$6,957.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,962.21	Professional		$1,808.65	$1,808.65	$1,962.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,025.69 / $2,712.98 / $5,425.95	Professional		$2,025.69	$2,712.98	$5,425.95