Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,128.51 / $3,128.51 / $3,128.51	Professional		$3,128.51	$3,128.51	$3,128.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $1,219.64	Facility		$1,219.64	$1,219.64	$1,219.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,219.64 / $1,256.23	Professional		$1,036.69	$1,219.64	$1,256.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.10 / $1,682.31 / $2,502.81	Facility		$991.10	$1,682.31	$2,502.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.86 / $283.86 / $298.80	Professional		$283.86	$283.86	$298.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,373.69 / $2,484.50 / $3,697.33	Professional		$2,373.69	$2,484.50	$3,697.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,649.58 / $2,474.37	Facility		$1,219.64	$1,649.58	$2,474.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,219.64 / $1,256.23	Professional		$1,036.69	$1,219.64	$1,256.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,406.05 / $2,694.93 / $4,921.18	Professional		$1,406.05	$2,694.93	$4,921.18