Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,071.52	Professional		$575.44	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $691.83	Facility		$575.44	$575.44	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,862.09	Professional		$575.44	$575.44	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,778.28	Facility		$575.44	$1,122.02	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,513.56	Facility		$1,071.52	$1,071.52	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $602.56 / $630.96	Professional		$60.26	$602.56	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,148.15	Professional		$575.44	$870.96	$1,148.15