Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.58 / $2,535.21 / $8,962.87	Facility		$1,583.58	$2,535.21	$8,962.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,455.68 / $2,461.42	Professional		$1,323.35	$1,455.68	$2,461.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,492.88	Professional		$1,323.35	$1,323.35	$1,492.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.59 / $2,461.42 / $3,519.83	Facility		$865.59	$2,461.42	$3,519.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $2,646.70	Professional		$1,323.35	$1,323.35	$2,646.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.92 / $2,362.08 / $3,711.84	Facility		$2,101.92	$2,362.08	$3,711.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,687.20 / $2,024.64 / $2,024.64	Professional		$1,687.20	$2,024.64	$2,024.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $2,461.42 / $3,519.83	Facility		$1,323.35	$2,461.42	$3,519.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,724.50 / $2,024.64	Professional		$1,323.35	$1,724.50	$2,024.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,985.03 / $3,970.05	Professional		$1,323.35	$1,985.03	$3,970.05