Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,759.95 / $1,759.95 / $1,759.95	Professional		$1,759.95	$1,759.95	$1,759.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $1,344.11	Professional		$920.41	$1,260.83	$1,344.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $497.15 / $497.15	Facility		$497.15	$497.15	$497.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.52 / $1,909.35 / $3,014.76	Professional		$1,603.52	$1,909.35	$3,014.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,962.73	Facility		$1,478.00	$1,478.00	$1,962.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $1,962.73 / $4,047.48	Professional		$1,478.00	$1,962.73	$4,047.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $497.15 / $1,478.00	Facility		$497.15	$497.15	$1,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,251.85 / $1,596.63 / $2,486.89	Professional		$1,251.85	$1,596.63	$2,486.89
United Facility/Professional Professional Modifier Low / Median / High Price $971.39 / $1,002.68 / $1,921.81	Professional		$971.39	$1,002.68	$1,921.81