Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Professional		$1,755.00	$1,755.00	$1,755.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,509.65 / $2,509.65 / $2,509.65	Facility		$2,509.65	$2,509.65	$2,509.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.82 / $1,137.82 / $1,625.45	Professional		$1,137.82	$1,137.82	$1,625.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,852.50 / $1,852.50 / $1,852.50	Professional		$1,852.50	$1,852.50	$1,852.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,509.65 / $2,509.65 / $2,509.65	Facility		$2,509.65	$2,509.65	$2,509.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,625.45 / $1,852.48	Professional		$1,066.90	$1,625.45	$1,852.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,852.50 / $2,491.23	Professional		$1,235.00	$1,852.50	$2,491.23