Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,570.40	Professional		$1,621.81	$1,778.28	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,089.30	Professional		$1,412.54	$1,412.54	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,570.40 / $2,884.03	Facility		$870.96	$2,570.40	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $9,772.37	Professional		$2,187.76	$3,019.95	$9,772.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $3,019.95	Facility		$2,570.40	$2,884.03	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $2,951.21	Professional		$2,344.23	$2,884.03	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $3,019.95	Facility		$870.96	$870.96	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,949.84 / $2,818.38	Professional		$60.26	$1,949.84	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,041.74	Facility		$1,778.28	$1,778.28	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $6,456.54	Professional		$1,479.11	$1,479.11	$6,456.54