Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,885.80 / $3,885.80 / $3,885.80	Professional		$3,885.80	$3,885.80	$3,885.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $2,941.06	Facility		$2,941.06	$2,941.06	$2,941.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $2,146.96	Professional		$2,146.96	$2,146.96	$2,146.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $1,308.09 / $1,308.09	Facility		$1,308.09	$1,308.09	$1,308.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,215.64 / $4,215.64 / $6,656.28	Professional		$4,215.64	$4,215.64	$6,656.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,885.65 / $3,885.65 / $4,333.52	Facility		$3,885.65	$3,885.65	$4,333.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,511.12 / $4,333.52 / $8,936.48	Professional		$3,511.12	$4,333.52	$8,936.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $1,308.09 / $2,941.06	Facility		$1,308.09	$1,308.09	$2,941.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,108.52 / $3,689.72 / $8,936.48	Professional		$3,108.52	$3,689.72	$8,936.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,213.83 / $2,213.83 / $9,801.54	Professional		$2,213.83	$2,213.83	$9,801.54