Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $4,466.84	Professional		$2,884.03	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Professional		$2,041.74	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,737.80 / $2,754.23	Facility		$416.87	$1,737.80	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $4,466.84	Professional		$60.26	$60.26	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $4,265.80	Facility		$309.03	$426.58	$4,265.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $812.83 / $4,265.80	Professional		$354.81	$812.83	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,090.30	Facility		$1,737.80	$2,187.76	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,041.74 / $2,398.83	Professional		$60.26	$2,041.74	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $2,137.96	Facility		$162.18	$234.42	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $5,011.87	Professional		$1,412.54	$2,691.53	$5,011.87