Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,388.44	Professional		$1,380.38	$1,778.28	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,778.28	Professional		$1,202.26	$1,202.26	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $3,715.35	Facility		$741.31	$2,344.23	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $9,120.11	Professional		$2,884.03	$3,715.35	$9,120.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $3,890.45	Facility		$2,570.40	$3,801.89	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $3,890.45	Professional		$3,090.30	$3,801.89	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,090.30	Facility		$741.31	$741.31	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,659.59 / $2,818.38	Professional		$60.26	$1,659.59	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Facility		$1,513.56	$1,513.56	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $5,495.41	Professional		$1,698.24	$1,905.46	$5,495.41