Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,675.24 / $6,675.24 / $6,675.24	Professional		$6,675.24	$6,675.24	$6,675.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,657.49 / $3,657.49 / $3,657.49	Facility		$3,657.49	$3,657.49	$3,657.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,108.87 / $3,657.49 / $3,657.49	Professional		$3,108.87	$3,657.49	$3,657.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,946.00 / $3,388.46 / $4,733.08	Facility		$2,946.00	$3,388.46	$4,733.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $472.53 / $607.97 / $607.97	Professional		$472.53	$607.97	$607.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.67 / $3,934.98 / $9,691.75	Professional		$387.67	$3,934.98	$9,691.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,946.00 / $3,419.19 / $4,733.08	Facility		$2,946.00	$3,419.19	$4,733.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,108.87 / $3,657.49 / $3,657.49	Professional		$3,108.87	$3,657.49	$3,657.49
United Facility/Professional Professional Modifier Low / Median / High Price $2,111.96 / $4,047.92 / $6,990.55	Professional		$2,111.96	$4,047.92	$6,990.55