Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.82 / $1,957.82 / $1,957.82	Professional		$1,957.82	$1,957.82	$1,957.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $908.63	Facility		$908.63	$908.63	$908.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $935.89	Professional		$663.30	$908.63	$935.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $468.34 / $468.34	Facility		$468.34	$468.34	$468.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.55 / $2,124.01 / $3,353.70	Professional		$1,604.55	$2,124.01	$3,353.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.94 / $1,478.94 / $2,183.40	Facility		$1,478.94	$1,478.94	$2,183.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,566.20 / $2,183.40 / $4,502.58	Professional		$1,566.20	$2,183.40	$4,502.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $468.34 / $1,478.94	Facility		$468.34	$468.34	$1,478.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $908.63 / $1,769.05 / $2,766.49	Professional		$908.63	$1,769.05	$2,766.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.14 / $1,115.42 / $2,137.88	Professional		$1,110.14	$1,115.42	$2,137.88