Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,455.89 / $5,455.89 / $5,455.89	Professional		$5,455.89	$5,455.89	$5,455.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $2,225.05	Facility		$2,225.05	$2,225.05	$2,225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $2,225.05 / $2,291.80	Professional		$1,891.29	$2,225.05	$2,291.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.95 / $2,494.80 / $3,802.48	Facility		$1,412.95	$2,494.80	$3,802.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.27 / $495.05 / $495.05	Professional		$431.27	$495.05	$495.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.97 / $6,447.87 / $11,123.90	Professional		$413.97	$6,447.87	$11,123.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,593.41 / $2,438.32 / $3,759.27	Facility		$1,593.41	$2,438.32	$3,759.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $2,225.05 / $2,291.80	Professional		$1,891.29	$2,225.05	$2,291.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,679.08 / $3,321.81 / $5,764.85	Professional		$1,679.08	$3,321.81	$5,764.85