Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,241.15 / $3,241.15 / $3,241.15	Professional		$3,241.15	$3,241.15	$3,241.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.76 / $1,406.76 / $1,406.76	Facility		$1,406.76	$1,406.76	$1,406.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,406.76 / $1,448.96	Professional		$1,195.75	$1,406.76	$1,448.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.86 / $1,743.14 / $2,592.92	Facility		$1,026.86	$1,743.14	$2,592.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $294.08 / $309.57	Professional		$294.08	$294.08	$309.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,168.56 / $2,215.73 / $3,830.45	Professional		$2,168.56	$2,215.73	$3,830.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $1,708.97 / $2,563.46	Facility		$1,267.00	$1,708.97	$2,563.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,406.76 / $1,448.96	Professional		$1,195.75	$1,406.76	$1,448.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.65 / $2,791.91 / $5,098.28	Professional		$1,456.65	$2,791.91	$5,098.28