Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,592.79 / $11,592.79 / $11,592.79	Professional		$11,592.79	$11,592.79	$11,592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $3,704.40	Facility		$3,704.40	$3,704.40	$3,704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $3,704.40 / $3,815.53	Professional		$3,148.74	$3,704.40	$3,815.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $6,234.60 / $9,274.23	Facility		$4,168.24	$6,234.60	$9,274.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.88 / $1,051.88 / $1,107.24	Professional		$1,051.88	$1,051.88	$1,107.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,796.20 / $8,919.29 / $23,636.14	Professional		$8,796.20	$8,919.29	$23,636.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $6,112.56 / $9,168.84	Facility		$4,168.24	$6,112.56	$9,168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $3,704.40 / $3,815.53	Professional		$3,148.74	$3,704.40	$3,815.53
United Facility/Professional Professional Modifier Low / Median / High Price $3,682.60 / $7,058.32 / $12,889.11	Professional		$3,682.60	$7,058.32	$12,889.11