Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,357.60 / $2,357.60 / $2,357.60	Professional		$2,357.60	$2,357.60	$2,357.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,217.05	Facility		$1,217.05	$1,217.05	$1,217.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,034.49 / $1,034.49	Professional		$1,034.49	$1,034.49	$1,034.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.27 / $1,417.27 / $1,850.31	Facility		$1,417.27	$1,417.27	$1,850.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $1,678.56 / $2,261.52	Professional		$214.82	$1,678.56	$2,261.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $278.60 / $2,084.21	Professional		$161.44	$278.60	$2,084.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,417.27 / $1,417.27 / $1,850.31	Facility		$1,417.27	$1,417.27	$1,850.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,034.49 / $1,034.49	Professional		$1,034.49	$1,034.49	$1,034.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.91 / $2,143.19 / $3,913.67	Professional		$1,090.91	$2,143.19	$3,913.67