Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Professional		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,187.00 / $3,061.80	Facility		$1,620.00	$2,187.00	$3,061.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,268.00 / $2,592.00 / $3,564.00	Facility		$2,268.00	$2,592.00	$3,564.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,782.00 / $1,944.00	Professional		$1,377.00	$1,782.00	$1,944.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,187.00 / $3,061.80	Facility		$1,620.00	$2,187.00	$3,061.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,687.50 / $2,295.00	Professional		$1,377.00	$1,687.50	$2,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $2,025.00 / $4,050.00	Professional		$2,025.00	$2,025.00	$4,050.00