Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,454.71	Professional		$1,412.54	$1,584.89	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,862.09	Professional		$1,318.26	$1,318.26	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,454.71 / $2,754.23	Facility		$758.58	$2,454.71	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $7,943.28	Professional		$2,511.89	$2,754.23	$7,943.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $2,884.03	Facility		$2,290.87	$2,754.23	$2,884.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $2,818.38	Professional		$2,238.72	$2,754.23	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,884.03	Facility		$758.58	$758.58	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,819.70 / $2,454.71	Professional		$60.26	$1,819.70	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Facility		$1,548.82	$1,548.82	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $5,623.41	Professional		$1,380.38	$1,412.54	$5,623.41