Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,636.41 / $6,636.41 / $6,636.41	Professional		$6,636.41	$6,636.41	$6,636.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,621.85 / $3,621.85 / $3,621.85	Facility		$3,621.85	$3,621.85	$3,621.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,078.57 / $3,621.85 / $3,621.85	Professional		$3,078.57	$3,621.85	$3,621.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,936.64 / $3,362.31 / $4,696.56	Facility		$2,936.64	$3,362.31	$4,696.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.73 / $604.41 / $604.41	Professional		$467.73	$604.41	$604.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.91 / $4,412.89 / $10,168.85	Professional		$524.91	$4,412.89	$10,168.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,936.64 / $3,408.57 / $4,696.56	Facility		$2,936.64	$3,408.57	$4,696.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,078.57 / $3,621.85 / $3,621.85	Professional		$3,078.57	$3,621.85	$3,621.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,099.67 / $4,024.39 / $6,950.03	Professional		$2,099.67	$4,024.39	$6,950.03