Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,331.60 / $6,331.60 / $6,331.60	Professional		$6,331.60	$6,331.60	$6,331.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $3,349.85 / $3,349.85	Professional		$2,847.37	$3,349.85	$3,349.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,861.12 / $3,260.92 / $4,414.78	Facility		$2,861.12	$3,260.92	$4,414.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.12 / $576.59 / $576.59	Professional		$431.12	$576.59	$576.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $884.25 / $8,842.50	Professional		$353.70	$884.25	$8,842.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,861.12 / $3,264.98 / $4,414.78	Facility		$2,861.12	$3,264.98	$4,414.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $3,349.85 / $3,349.85	Professional		$2,847.37	$3,349.85	$3,349.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,003.52 / $3,840.08 / $6,632.93	Professional		$2,003.52	$3,840.08	$6,632.93