Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $4,365.16	Professional		$2,754.23	$3,019.95	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,548.13	Professional		$2,398.83	$2,398.83	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,365.16 / $4,786.30	Facility		$1,479.11	$4,365.16	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $16,218.10	Professional		$3,715.35	$5,011.87	$16,218.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $5,011.87	Facility		$4,365.16	$4,897.79	$5,011.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $5,011.87	Professional		$3,981.07	$4,897.79	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $5,011.87	Facility		$1,479.11	$1,479.11	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,311.31 / $4,677.35	Professional		$60.26	$3,311.31	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,388.44	Facility		$3,019.95	$3,019.95	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $10,964.78	Professional		$2,454.71	$2,454.71	$10,964.78