Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $6,606.93	Professional		$4,466.84	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,630.78	Professional		$3,090.30	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,951.21 / $4,365.16	Facility		$478.63	$2,951.21	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $4,897.79 / $6,606.93	Professional		$60.26	$4,897.79	$6,606.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $6,165.95	Facility		$489.78	$616.60	$6,165.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $6,165.95	Professional		$489.78	$954.99	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $4,677.35	Facility		$2,951.21	$3,467.37	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,090.30 / $3,630.78	Professional		$60.26	$3,090.30	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $3,311.31	Facility		$245.47	$371.54	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,413.10	Professional		$2,089.30	$3,981.07	$7,413.10