Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,836.79 / $2,836.79 / $2,836.79	Professional		$2,836.79	$2,836.79	$2,836.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.26 / $1,414.26 / $1,414.26	Facility		$1,414.26	$1,414.26	$1,414.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.11 / $1,414.26 / $1,456.69	Professional		$1,202.11	$1,414.26	$1,456.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.75 / $1,555.44 / $2,269.42	Facility		$898.75	$1,555.44	$2,269.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $270.95 / $345.55	Professional		$257.39	$270.95	$345.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,016.71 / $5,456.50 / $5,783.89	Professional		$2,016.71	$5,456.50	$5,783.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,118.76 / $1,529.66 / $2,243.64	Facility		$1,118.76	$1,529.66	$2,243.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.11 / $1,414.26 / $1,456.69	Professional		$1,202.11	$1,414.26	$1,456.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.74 / $2,590.84 / $4,731.09	Professional		$1,351.74	$2,590.84	$4,731.09