Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,875.95 / $2,875.95 / $2,875.95	Professional		$2,875.95	$2,875.95	$2,875.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Facility		$1,350.00	$1,350.00	$1,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $1,390.50	Professional		$1,147.50	$1,350.00	$1,390.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.39 / $1,576.11 / $2,256.23	Facility		$946.39	$1,576.11	$2,256.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.18 / $271.05 / $285.32	Professional		$262.18	$271.05	$285.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,078.19 / $2,272.50 / $5,195.50	Professional		$2,078.19	$2,272.50	$5,195.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.48 / $1,487.06 / $2,230.59	Facility		$1,102.48	$1,487.06	$2,230.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $1,390.50	Professional		$1,147.50	$1,350.00	$1,390.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,363.50 / $2,613.38 / $4,734.50	Professional		$1,363.50	$2,613.38	$4,734.50