Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,089.30	Professional		$1,318.26	$1,445.44	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,737.80	Professional		$1,174.90	$1,174.90	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $2,290.87	Facility		$707.95	$2,041.74	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $7,244.36	Professional		$2,290.87	$2,290.87	$7,244.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,398.83	Facility		$2,089.30	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,398.83	Professional		$1,905.46	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $2,398.83	Facility		$707.95	$707.95	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,621.81 / $2,290.87	Professional		$60.26	$1,621.81	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,445.44	Facility		$1,096.48	$1,096.48	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $5,888.44	Professional		$1,148.15	$1,862.09	$5,888.44