Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,801.89	Professional		$1,995.26	$2,630.27	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,691.53	Professional		$1,905.46	$1,905.46	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $4,265.80	Facility		$1,071.52	$3,801.89	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,265.80 / $13,182.57	Professional		$4,168.69	$4,265.80	$13,182.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $4,466.84	Facility		$3,801.89	$4,265.80	$4,466.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $4,365.16	Professional		$3,467.37	$4,265.80	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $4,466.84	Facility		$1,071.52	$1,071.52	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,630.27 / $4,073.80	Professional		$60.26	$2,630.27	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,511.89	Facility		$2,187.76	$2,187.76	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $7,943.28	Professional		$2,089.30	$2,187.76	$7,943.28