Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,147.64 / $4,147.64 / $4,147.64	Professional		$4,147.64	$4,147.64	$4,147.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $3,199.83	Professional		$2,191.15	$3,001.57	$3,199.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,899.65 / $2,899.65 / $2,899.65	Facility		$2,899.65	$2,899.65	$2,899.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,499.71 / $5,014.72 / $7,104.81	Professional		$4,499.71	$5,014.72	$7,104.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,622.17 / $4,622.17 / $4,625.53	Facility		$4,622.17	$4,622.17	$4,625.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,747.71 / $4,625.53 / $9,538.62	Professional		$3,747.71	$4,625.53	$9,538.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,899.65 / $2,899.65 / $3,430.35	Facility		$2,899.65	$2,899.65	$3,430.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,001.57 / $3,914.96 / $6,185.93	Professional		$3,001.57	$3,914.96	$6,185.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,363.00 / $2,363.00 / $4,529.09	Professional		$2,363.00	$2,363.00	$4,529.09