Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,793.29 / $9,793.29 / $9,793.29	Professional		$9,793.29	$9,793.29	$9,793.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,649.60 / $5,470.13 / $5,470.13	Professional		$4,649.60	$5,470.13	$5,470.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,263.12 / $4,948.24 / $7,009.02	Facility		$4,263.12	$4,948.24	$7,009.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $708.18 / $892.03 / $892.03	Professional		$708.18	$892.03	$892.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,642.37 / $5,809.90 / $14,524.75	Professional		$5,642.37	$5,809.90	$14,524.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,263.12 / $5,017.82 / $7,009.02	Facility		$4,263.12	$5,017.82	$7,009.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,649.60 / $5,470.13 / $5,470.13	Professional		$4,649.60	$5,470.13	$5,470.13
United Facility/Professional Professional Modifier Low / Median / High Price $3,098.16 / $3,098.16 / $10,253.86	Professional		$3,098.16	$3,098.16	$10,253.86