Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.49 / $2,127.76 / $6,257.30	Facility		$1,359.49	$2,127.76	$6,257.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,754.04	Professional		$1,214.63	$1,214.63	$1,754.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,736.92 / $1,736.92 / $2,677.32	Facility		$1,736.92	$1,736.92	$2,677.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,040.58 / $2,040.58 / $3,206.63	Facility		$2,040.58	$2,040.58	$3,206.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,736.92 / $1,943.41 / $4,580.89	Facility		$1,736.92	$1,943.41	$4,580.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,821.95 / $2,450.15	Professional		$1,214.63	$1,821.95	$2,450.15