Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,884.03	Professional		$1,412.54	$1,659.59	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
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 $758.58 / $2,754.23 / $3,235.94	Facility		$758.58	$2,754.23	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $8,317.64	Professional		$2,630.27	$3,235.94	$8,317.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $3,388.44	Facility		$2,398.83	$3,235.94	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,311.31	Professional		$2,630.27	$3,235.94	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $3,235.94	Facility		$758.58	$758.58	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,479.11 / $2,570.40	Professional		$60.26	$1,479.11	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,778.28	Facility		$1,584.89	$1,584.89	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $5,754.40	Professional		$1,621.81	$1,659.59	$5,754.40