Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,404.39 / $3,404.39 / $3,404.39	Professional		$3,404.39	$3,404.39	$3,404.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $2,008.50	Professional		$1,657.50	$1,950.00	$2,008.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.83 / $1,853.76 / $2,653.64	Facility		$1,133.83	$1,853.76	$2,653.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $310.33 / $310.33	Professional		$295.93	$310.33	$310.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.95 / $2,690.20 / $6,069.50	Professional		$606.95	$2,690.20	$6,069.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,285.81 / $1,873.65 / $2,653.64	Facility		$1,285.81	$1,873.65	$2,653.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $2,008.50	Professional		$1,657.50	$1,950.00	$2,008.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.21 / $2,685.65 / $4,666.97	Professional		$1,401.21	$2,685.65	$4,666.97