Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $4,677.35	Professional		$933.25	$1,258.93	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $6,456.54	Facility		$1,122.02	$1,513.56	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $6,606.93	Professional		$1,621.81	$3,235.94	$6,606.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,265.80 / $6,025.60	Professional		$4,168.69	$4,265.80	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,677.35 / $6,606.93	Facility		$1,445.44	$4,677.35	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,000.00 / $3,235.94	Professional		$60.26	$1,000.00	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,630.27 / $6,025.60	Professional		$1,096.48	$2,630.27	$6,025.60