Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.02 / $3,281.97 / $4,023.00	Facility		$1,692.02	$3,281.97	$4,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,922.39 / $3,530.61	Professional		$1,730.31	$1,922.39	$3,530.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,602.31 / $4,602.31 / $4,602.31	Facility		$4,602.31	$4,602.31	$4,602.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $5,571.63	Professional		$1,730.32	$1,730.32	$5,571.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,515.89 / $2,881.77 / $4,528.50	Facility		$2,515.89	$2,881.77	$4,528.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,526.69 / $4,116.82 / $6,792.75	Facility		$2,526.69	$4,116.82	$6,792.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,877.24	Professional		$1,730.32	$1,730.32	$1,877.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,926.21 / $2,595.48 / $5,190.96	Professional		$1,926.21	$2,595.48	$5,190.96