Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,710.10 / $5,710.10 / $5,710.10	Professional		$5,710.10	$5,710.10	$5,710.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $2,290.69	Facility		$2,290.69	$2,290.69	$2,290.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $2,359.42	Professional		$1,947.10	$2,290.69	$2,359.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,736.08 / $2,736.08 / $4,027.43	Facility		$2,736.08	$2,736.08	$4,027.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.79 / $519.79 / $519.79	Professional		$519.79	$519.79	$519.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.89 / $2,947.10 / $5,774.20	Professional		$451.89	$2,947.10	$5,774.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,736.08 / $2,736.08 / $4,027.43	Facility		$2,736.08	$2,736.08	$4,027.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $2,359.42	Professional		$1,947.10	$2,290.69	$2,359.42
United Facility/Professional Facility Modifier Low / Median / High Price $218.70 / $243.40 / $2,829.98	Facility		$218.70	$243.40	$2,829.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,807.56 / $3,464.49 / $6,326.46	Professional		$1,807.56	$3,464.49	$6,326.46