Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $4,466.84	Professional		$1,778.28	$2,511.89	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,570.40	Professional		$1,819.70	$1,819.70	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $5,011.87	Facility		$1,000.00	$3,467.37	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $12,589.25	Professional		$3,981.07	$5,011.87	$12,589.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $5,248.07	Facility		$3,630.78	$5,011.87	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,128.61	Professional		$4,073.80	$5,011.87	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,265.80	Facility		$1,000.00	$1,000.00	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,454.71 / $3,981.07	Professional		$60.26	$2,454.71	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,344.23	Facility		$2,041.74	$2,041.74	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $7,413.10	Professional		$2,344.23	$2,570.40	$7,413.10