Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,374.27 / $5,374.27 / $5,374.27	Professional		$5,374.27	$5,374.27	$5,374.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $2,671.66	Professional		$2,270.91	$2,671.66	$2,671.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,391.12 / $2,670.30 / $3,753.02	Facility		$2,391.12	$2,670.30	$3,753.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.46 / $489.46 / $489.46	Professional		$489.46	$489.46	$489.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $3,516.30 / $5,045.70	Professional		$317.02	$3,516.30	$5,045.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,391.12 / $2,671.66 / $3,753.02	Facility		$2,391.12	$2,671.66	$3,753.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $2,671.66	Professional		$2,270.91	$2,671.66	$2,671.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,700.40 / $3,259.10 / $5,951.40	Professional		$1,700.40	$3,259.10	$5,951.40