Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $3,467.37	Professional		$2,137.96	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,011.87 / $12,302.69	Facility		$3,467.37	$5,011.87	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $831.76 / $3,467.37	Professional		$60.26	$831.76	$3,467.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $5,754.40	Facility		$3,467.37	$3,630.78	$5,754.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,011.87	Facility		$3,467.37	$3,467.37	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $575.44 / $2,290.87	Professional		$60.26	$575.44	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $4,570.88	Professional		$2,137.96	$3,311.31	$4,570.88