Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,084.64 / $5,084.64 / $5,084.64	Professional		$5,084.64	$5,084.64	$5,084.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,254.90	Facility		$2,254.90	$2,254.90	$2,254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,254.90 / $2,322.55	Professional		$1,916.67	$2,254.90	$2,322.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,289.84 / $2,509.50 / $3,425.10	Facility		$2,289.84	$2,509.50	$3,425.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.05 / $463.05 / $463.05	Professional		$463.05	$463.05	$463.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.05 / $4,022.70 / $4,832.30	Professional		$294.05	$4,022.70	$4,832.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,289.84 / $2,495.65 / $3,425.10	Facility		$2,289.84	$2,495.65	$3,425.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,254.90 / $2,322.55	Professional		$1,916.67	$2,254.90	$2,322.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,609.08 / $3,084.07 / $5,383.75	Professional		$1,609.08	$3,084.07	$5,383.75