Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.65 / $1,530.65 / $1,530.65	Professional		$1,530.65	$1,530.65	$1,530.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $123.60	Professional		$102.00	$120.00	$123.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.31 / $1,078.31 / $1,078.31	Facility		$1,078.31	$1,078.31	$1,078.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.73 / $1,608.14 / $4,261.57	Professional		$1,527.73	$1,608.14	$4,261.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,408.14 / $1,408.14 / $1,570.45	Facility		$1,408.14	$1,408.14	$1,570.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.51 / $1,570.45 / $3,520.35	Professional		$1,126.51	$1,570.45	$3,520.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,078.31 / $1,078.31 / $1,078.31	Facility		$1,078.31	$1,078.31	$1,078.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $1,408.14 / $3,520.35	Professional		$112.44	$1,408.14	$3,520.35
United Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $176.64 / $322.56	Professional		$92.16	$176.64	$322.56