Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,105.11 / $6,105.11 / $6,105.11	Professional		$6,105.11	$6,105.11	$6,105.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $2,673.00 / $2,673.00	Professional		$2,272.05	$2,673.00	$2,673.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,759.04 / $3,144.12 / $4,256.64	Facility		$2,759.04	$3,144.12	$4,256.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.66 / $555.96 / $555.96	Professional		$415.66	$555.96	$555.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.96 / $3,410.10 / $9,036.77	Professional		$482.96	$3,410.10	$9,036.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,759.04 / $3,081.34 / $4,256.64	Facility		$2,759.04	$3,081.34	$4,256.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $2,673.00 / $2,673.00	Professional		$2,272.05	$2,673.00	$2,673.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,931.84 / $3,702.69 / $6,761.43	Professional		$1,931.84	$3,702.69	$6,761.43