Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,192.58 / $8,192.58 / $8,192.58	Professional		$8,192.58	$8,192.58	$8,192.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $4,550.34	Professional		$422.50	$4,550.34	$4,550.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,947.82 / $3,968.56 / $5,480.39	Facility		$2,947.82	$3,968.56	$5,480.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $746.32 / $746.32 / $746.32	Professional		$746.32	$746.32	$746.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.78 / $737.28 / $9,682.14	Professional		$515.78	$737.28	$9,682.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,947.82 / $3,968.56 / $5,480.39	Facility		$2,947.82	$3,968.56	$5,480.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $4,550.34	Professional		$422.50	$4,550.34	$4,550.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,211.55 / $6,155.48 / $12,669.74	Professional		$3,211.55	$6,155.48	$12,669.74