Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $4,466.84	Professional		$3,311.31	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,754.23	Professional		$2,290.87	$2,691.53	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,951.21 / $4,168.69	Facility		$416.87	$2,951.21	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,168.69 / $14,125.38	Professional		$3,981.07	$4,168.69	$14,125.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $4,168.69	Facility		$363.08	$416.87	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $4,168.69	Professional		$354.81	$794.33	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $3,467.37	Facility		$2,511.89	$2,570.40	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,691.53 / $4,677.35	Professional		$60.26	$2,691.53	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $3,090.30	Facility		$165.96	$1,230.27	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,413.10	Professional		$2,089.30	$3,981.07	$7,413.10