Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,388.44	Professional		$1,698.24	$2,187.76	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,819.70	Professional		$1,288.25	$1,288.25	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,715.35 / $3,715.35	Facility		$912.01	$3,715.35	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,715.35 / $10,964.78	Professional		$3,467.37	$3,715.35	$10,964.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $3,890.45	Facility		$3,162.28	$3,715.35	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,801.89	Professional		$3,019.95	$3,715.35	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $3,801.89	Facility		$912.01	$912.01	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,778.28 / $3,388.44	Professional		$60.26	$1,778.28	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,137.96	Facility		$1,862.09	$1,862.09	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $6,918.31	Professional		$1,862.09	$1,905.46	$6,918.31