Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,621.81	Professional		$1,000.00	$1,122.02	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,380.38	Professional		$977.24	$977.24	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,621.81 / $1,778.28	Facility		$575.44	$1,621.81	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $6,025.60	Professional		$1,380.38	$1,862.09	$6,025.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,862.09	Facility		$1,621.81	$1,778.28	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Professional		$1,479.11	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,862.09	Facility		$575.44	$575.44	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,318.26 / $1,737.80	Professional		$60.26	$1,318.26	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Facility		$1,122.02	$1,122.02	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $912.01 / $4,073.80	Professional		$891.25	$912.01	$4,073.80