Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,884.83 / $1,884.83 / $1,884.83	Facility		$1,884.83	$1,884.83	$1,884.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,268.51 / $3,268.51 / $3,268.51	Facility		$3,268.51	$3,268.51	$3,268.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $682.29 / $2,196.96	Professional		$682.29	$682.29	$2,196.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,388.02 / $2,524.46 / $2,729.16	Facility		$2,388.02	$2,524.46	$2,729.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.05 / $1,535.15 / $1,535.15	Professional		$614.05	$1,535.15	$1,535.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,884.83 / $2,524.46 / $3,268.51	Facility		$1,884.83	$2,524.46	$3,268.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,876.30 / $1,876.30 / $1,876.30	Professional		$1,876.30	$1,876.30	$1,876.30
United Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $1,364.58 / $2,058.61	Professional		$682.29	$1,364.58	$2,058.61