Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,025.60	Professional		$2,754.23	$3,630.78	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,801.89	Professional		$2,691.53	$2,691.53	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,248.07 / $6,606.93	Facility		$1,479.11	$5,248.07	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,606.93 / $18,197.01	Professional		$5,754.40	$6,606.93	$18,197.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $6,918.31	Facility		$5,248.07	$6,760.83	$6,918.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $6,918.31	Professional		$5,495.41	$6,760.83	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $6,165.95	Facility		$1,479.11	$1,479.11	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,630.78 / $5,623.41	Professional		$60.26	$3,630.78	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,467.37	Facility		$3,019.95	$3,019.95	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $10,964.78	Professional		$3,311.31	$3,388.44	$10,964.78