Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,727.53 / $10,727.53 / $10,727.53	Professional		$10,727.53	$10,727.53	$10,727.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,321.80 / $4,321.80 / $4,321.80	Facility		$4,321.80	$4,321.80	$4,321.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,673.53 / $3,673.53 / $3,673.53	Professional		$3,673.53	$3,673.53	$3,673.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $5,769.30 / $8,582.02	Facility		$3,857.20	$5,769.30	$8,582.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.37 / $973.37 / $1,024.59	Professional		$973.37	$973.37	$1,024.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.36 / $8,519.40 / $12,677.99	Professional		$825.36	$8,519.40	$12,677.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $5,656.33 / $8,484.50	Facility		$3,857.20	$5,656.33	$8,484.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,673.53 / $3,673.53 / $3,673.53	Professional		$3,673.53	$3,673.53	$3,673.53
United Facility/Professional Professional Modifier Low / Median / High Price $3,407.76 / $6,531.54 / $11,334.94	Professional		$3,407.76	$6,531.54	$11,334.94