Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,495.41	Professional		$2,691.53	$3,388.44	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,890.45	Professional		$2,754.23	$2,754.23	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,165.95 / $6,165.95	Facility		$1,445.44	$6,165.95	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $16,982.44	Professional		$5,370.32	$6,165.95	$16,982.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $6,456.54	Facility		$4,897.79	$6,165.95	$6,456.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $6,309.57	Professional		$5,011.87	$6,165.95	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $6,025.60	Facility		$1,445.44	$1,445.44	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,801.89 / $5,248.07	Professional		$60.26	$3,801.89	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,388.44	Facility		$2,951.21	$2,951.21	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $10,715.19	Professional		$3,090.30	$3,162.28	$10,715.19