Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,862.09	Professional		$1,174.90	$1,258.93	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,445.44	Professional		$1,023.29	$1,023.29	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,819.70 / $2,041.74	Facility		$630.96	$1,819.70	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $6,918.31	Professional		$1,584.89	$2,187.76	$6,918.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,187.76	Facility		$1,862.09	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,137.96	Professional		$1,698.24	$2,089.30	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $2,187.76	Facility		$630.96	$630.96	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,412.54 / $2,041.74	Professional		$60.26	$1,412.54	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,258.93	Facility		$954.99	$954.99	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $5,248.07	Professional		$1,023.29	$1,698.24	$5,248.07