Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $9,332.54	Facility		$3,311.31	$5,888.44	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $2,570.40	Professional		$616.60	$707.95	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,570.40 / $5,495.41	Facility		$758.58	$2,570.40	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,290.87 / $2,454.71	Professional		$616.60	$2,290.87	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,019.95	Facility		$2,630.27	$2,818.38	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,089.30 / $3,630.78	Facility		$602.56	$2,089.30	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $691.83	Professional		$60.26	$60.26	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,513.56 / $2,290.87	Professional		$457.09	$1,513.56	$2,290.87