Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.39 / $1,635.39 / $5,781.69	Facility		$1,635.39	$1,635.39	$5,781.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,651.91 / $1,651.91	Professional		$1,015.62	$1,651.91	$1,651.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.23 / $2,362.23 / $2,362.23	Facility		$2,362.23	$2,362.23	$2,362.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $144.63 / $206.63	Professional		$144.63	$144.63	$206.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,601.03 / $1,601.03 / $2,515.90	Facility		$1,601.03	$1,601.03	$2,515.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,480.37 / $2,114.82 / $3,489.45	Facility		$1,480.37	$2,114.82	$3,489.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $206.63 / $1,040.08	Professional		$144.63	$206.63	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,529.55 / $2,056.94	Professional		$1,019.70	$1,529.55	$2,056.94