Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $3,467.37	Professional		$1,659.59	$3,019.95	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,630.27 / $3,548.13	Facility		$562.34	$2,630.27	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $12,022.64	Professional		$2,691.53	$3,548.13	$12,022.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $3,548.13	Professional		$562.34	$575.44	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,019.95	Facility		$2,137.96	$2,290.87	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,698.24 / $2,691.53	Professional		$60.26	$1,698.24	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,888.44 / $9,120.11	Professional		$2,884.03	$5,888.44	$9,120.11