Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,949.84	Professional		$1,047.13	$1,318.26	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,258.93	Professional		$891.25	$891.25	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $2,187.76	Facility		$549.54	$1,778.28	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $5,248.07	Professional		$1,659.59	$2,187.76	$5,248.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,290.87	Facility		$1,513.56	$2,187.76	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,238.72	Professional		$1,778.28	$2,187.76	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,344.23	Facility		$549.54	$549.54	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,230.27 / $1,659.59	Professional		$60.26	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,288.25	Facility		$1,148.15	$1,148.15	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $4,168.69	Professional		$1,071.52	$1,122.02	$4,168.69