Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,031.51 / $5,031.51 / $5,031.51	Professional		$5,031.51	$5,031.51	$5,031.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $2,669.76	Professional		$2,203.19	$2,592.00	$2,669.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $2,478.82 / $3,393.98	Facility		$2,249.19	$2,478.82	$3,393.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $458.22 / $458.22 / $458.22	Professional		$458.22	$458.22	$458.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.63 / $2,976.93 / $3,980.70	Professional		$294.63	$2,976.93	$3,980.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $2,494.13 / $3,393.98	Facility		$2,249.19	$2,494.13	$3,393.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $2,669.76	Professional		$2,203.19	$2,592.00	$2,669.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.28 / $3,051.87 / $5,327.98	Professional		$1,592.28	$3,051.87	$5,327.98