Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,076.93 / $4,076.93 / $4,076.93	Professional		$4,076.93	$4,076.93	$4,076.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $2,291.84	Professional		$1,891.33	$2,225.09	$2,291.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.40 / $1,903.99 / $2,935.59	Facility		$1,640.40	$1,903.99	$2,935.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.52 / $371.52 / $371.52	Professional		$371.52	$371.52	$371.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.79 / $481.82 / $6,944.75	Professional		$277.79	$481.82	$6,944.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.40 / $1,979.05 / $2,902.23	Facility		$1,640.40	$1,979.05	$2,902.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $2,291.84	Professional		$1,891.33	$2,225.09	$2,291.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.11 / $2,470.81 / $4,511.91	Professional		$1,289.11	$2,470.81	$4,511.91