Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,821.83 / $2,821.83 / $2,821.83	Professional		$2,821.83	$2,821.83	$2,821.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $1,245.04	Professional		$1,027.46	$1,208.78	$1,245.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $894.05 / $1,517.53 / $2,257.46	Facility		$894.05	$1,517.53	$2,257.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $256.04 / $269.52	Professional		$256.04	$256.04	$269.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,888.00 / $2,141.19 / $5,753.42	Professional		$1,888.00	$2,141.19	$5,753.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,103.08 / $1,487.87 / $2,231.81	Facility		$1,103.08	$1,487.87	$2,231.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $1,245.04	Professional		$1,027.46	$1,208.78	$1,245.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.06 / $2,641.80 / $4,438.22	Professional		$1,268.06	$2,641.80	$4,438.22