Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,426.69 / $2,426.69 / $2,426.69	Professional		$2,426.69	$2,426.69	$2,426.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $1,584.92	Facility		$1,584.92	$1,584.92	$1,584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $1,689.60	Professional		$1,156.99	$1,584.92	$1,689.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $857.77 / $857.77	Facility		$857.77	$857.77	$857.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.68 / $2,632.68 / $4,156.85	Professional		$2,632.68	$2,632.68	$4,156.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,426.60 / $2,426.60 / $2,706.29	Facility		$2,426.60	$2,426.60	$2,706.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,192.71 / $2,706.29 / $5,580.88	Professional		$2,192.71	$2,706.29	$5,580.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $857.77 / $1,800.90	Facility		$857.77	$857.77	$1,800.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.92 / $2,304.23 / $3,429.02	Professional		$1,584.92	$2,304.23	$3,429.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.41 / $1,382.54 / $2,649.88	Professional		$1,339.41	$1,382.54	$2,649.88