Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,485.04 / $5,485.04 / $5,485.04	Professional		$5,485.04	$5,485.04	$5,485.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,837.98 / $2,837.98 / $2,837.98	Professional		$2,837.98	$2,837.98	$2,837.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.48 / $2,139.23 / $3,371.60	Facility		$1,350.48	$2,139.23	$3,371.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $386.80 / $497.69 / $497.69	Professional		$386.80	$497.69	$497.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $435.60 / $3,669.84	Professional		$422.00	$435.60	$3,669.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,350.48 / $2,139.23 / $3,371.60	Facility		$1,350.48	$2,139.23	$3,371.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,837.98 / $2,837.98 / $2,837.98	Professional		$2,837.98	$2,837.98	$2,837.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,915.65 / $3,671.66 / $6,704.78	Professional		$1,915.65	$3,671.66	$6,704.78