Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,754.40	Professional		$1,584.89	$2,238.72	$5,754.40
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $3,801.89	Professional		$3,162.28	$3,715.35	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $3,467.37	Facility		$537.03	$537.03	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,698.24 / $5,754.40	Professional		$60.26	$1,698.24	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $537.03 / $5,370.32	Facility		$281.84	$537.03	$5,370.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $5,370.32	Professional		$512.86	$676.08	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,073.80	Facility		$2,344.23	$2,344.23	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,162.28 / $3,801.89	Professional		$60.26	$3,162.28	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $2,398.83	Facility		$138.04	$218.78	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $1,380.38	Professional		$263.03	$489.78	$1,380.38