Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.79 / $1,527.79 / $1,527.79	Professional		$1,527.79	$1,527.79	$1,527.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,639.62 / $1,639.62	Professional		$1,393.68	$1,639.62	$1,639.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.68 / $1,449.13 / $2,210.32	Facility		$817.68	$1,449.13	$2,210.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $138.62 / $138.62	Professional		$138.62	$138.62	$138.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $1,159.20 / $2,938.75	Professional		$121.33	$1,159.20	$2,938.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,014.48 / $1,461.89 / $2,126.80	Facility		$1,014.48	$1,461.89	$2,126.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,639.62 / $1,639.62	Professional		$1,393.68	$1,639.62	$1,639.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.96 / $2,407.25 / $4,395.85	Professional		$1,255.96	$2,407.25	$4,395.85