Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,372.63 / $5,372.63 / $5,372.63	Professional		$5,372.63	$5,372.63	$5,372.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $3,840.27	Professional		$2,721.75	$3,728.42	$3,840.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,762.02 / $3,762.02 / $3,762.02	Facility		$3,762.02	$3,762.02	$3,762.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,531.77 / $5,828.69 / $9,203.19	Professional		$5,531.77	$5,828.69	$9,203.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,098.76 / $5,098.76 / $5,991.66	Facility		$5,098.76	$5,098.76	$5,991.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,854.60 / $5,991.66 / $12,355.88	Professional		$4,854.60	$5,991.66	$12,355.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,762.02 / $3,762.02 / $3,784.05	Facility		$3,762.02	$3,762.02	$3,784.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,728.42 / $4,874.10 / $7,189.99	Professional		$3,728.42	$4,874.10	$7,189.99
United Facility/Professional Professional Modifier Low / Median / High Price $3,060.91 / $3,060.91 / $5,866.75	Professional		$3,060.91	$3,060.91	$5,866.75