Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $4,168.69	Professional		$2,570.40	$2,754.23	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,025.60	Facility		$4,168.69	$4,168.69	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,630.27 / $4,168.69	Professional		$60.26	$2,630.27	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,365.16 / $6,918.31	Facility		$1,380.38	$4,365.16	$6,918.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,025.60	Facility		$4,168.69	$4,168.69	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $2,630.27	Professional		$60.26	$60.26	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $7,244.36	Professional		$2,570.40	$3,890.45	$7,244.36