Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,162.28	Professional		$1,348.96	$1,659.59	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,584.89	Professional		$1,096.48	$1,096.48	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,691.53 / $3,630.78	Facility		$741.31	$2,691.53	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $8,317.64	Professional		$2,630.27	$3,630.78	$8,317.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $3,801.89	Facility		$2,398.83	$3,630.78	$3,801.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $3,715.35	Professional		$2,951.21	$3,630.78	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,090.30	Facility		$741.31	$741.31	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,513.56 / $2,630.27	Professional		$60.26	$1,513.56	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,479.11	Facility		$1,122.02	$1,122.02	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $9,332.54	Professional		$1,698.24	$2,818.38	$9,332.54