Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $5,011.87	Professional		$1,905.46	$1,949.84	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,089.30	Professional		$1,479.11	$1,479.11	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,162.28 / $5,623.41	Facility		$1,047.13	$3,162.28	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $9,772.37	Professional		$3,162.28	$5,623.41	$9,772.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $6,025.60	Facility		$2,818.38	$5,754.40	$6,025.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $5,888.44	Professional		$4,677.35	$5,754.40	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,466.84	Facility		$1,047.13	$1,047.13	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,995.26 / $3,090.30	Professional		$60.26	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,089.30	Facility		$1,584.89	$1,584.89	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $14,454.40	Professional		$2,398.83	$4,365.16	$14,454.40