Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,818.38	Professional		$1,659.59	$2,041.74	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,862.09	Professional		$1,258.93	$1,258.93	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,754.23 / $3,019.95	Facility		$891.25	$2,754.23	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $10,232.93	Professional		$3,019.95	$3,235.94	$10,232.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,162.28	Facility		$2,951.21	$3,019.95	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,090.30	Professional		$2,454.71	$3,019.95	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $3,311.31	Facility		$891.25	$891.25	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,737.80 / $3,162.28	Professional		$60.26	$1,737.80	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,089.30	Facility		$1,819.70	$1,819.70	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $6,760.83	Professional		$1,513.56	$1,548.82	$6,760.83