Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $2,691.53	Professional		$2,041.74	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Professional		$1,230.27	$1,445.44	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,862.09 / $2,511.89	Facility		$245.47	$1,862.09	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $8,511.38	Professional		$2,454.71	$2,511.89	$8,511.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $2,511.89	Facility		$223.87	$245.47	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $512.86 / $2,511.89	Professional		$204.17	$512.86	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,089.30	Facility		$1,047.13	$1,445.44	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,445.44 / $3,019.95	Professional		$60.26	$1,445.44	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $645.65 / $1,737.80	Facility		$87.10	$645.65	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $4,466.84	Professional		$1,288.25	$2,454.71	$4,466.84