Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $2,691.53	Professional		$2,344.23	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,819.70	Professional		$1,513.56	$1,778.28	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,862.09 / $2,511.89	Facility		$263.03	$1,862.09	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $8,511.38	Professional		$2,511.89	$2,630.27	$8,511.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $2,754.23	Facility		$229.09	$263.03	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $2,570.40	Professional		$229.09	$549.54	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,630.27	Facility		$1,288.25	$1,778.28	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,778.28 / $3,019.95	Professional		$60.26	$1,778.28	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $831.76 / $2,089.30	Facility		$104.71	$831.76	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $4,466.84	Professional		$1,288.25	$2,454.71	$4,466.84