Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,461.15 / $3,461.15 / $3,461.15	Professional		$3,461.15	$3,461.15	$3,461.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,440.00	Facility		$1,440.00	$1,440.00	$1,440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $1,483.20	Professional		$1,224.00	$1,440.00	$1,483.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.54 / $1,861.43 / $2,768.92	Facility		$1,096.54	$1,861.43	$2,768.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $314.05 / $330.58	Professional		$314.05	$314.05	$330.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,626.20 / $2,663.00 / $7,056.95	Professional		$2,626.20	$2,663.00	$7,056.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $1,824.97 / $2,737.46	Facility		$1,353.00	$1,824.97	$2,737.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $1,483.20	Professional		$1,224.00	$1,440.00	$1,483.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.42 / $2,981.23 / $5,443.98	Professional		$1,555.42	$2,981.23	$5,443.98