Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $2,025.00 / $2,025.00	Professional		$2,025.00	$2,025.00	$2,025.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,025.00 / $2,835.00	Facility		$1,500.00	$2,025.00	$2,835.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $2,400.00 / $3,495.87	Facility		$2,100.00	$2,400.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,650.00 / $1,800.00	Professional		$1,275.00	$1,650.00	$1,800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,025.00 / $2,835.00	Facility		$1,500.00	$2,025.00	$2,835.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,275.00 / $1,641.60	Professional		$1,250.00	$1,275.00	$1,641.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,909.64 / $3,750.00	Professional		$1,875.00	$1,909.64	$3,750.00