Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,092.01 / $2,092.01 / $2,092.01	Professional		$2,092.01	$2,092.01	$2,092.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $1,407.31	Professional		$997.41	$1,366.32	$1,407.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $739.46 / $739.46	Facility		$739.46	$739.46	$739.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.58 / $2,269.58 / $3,583.55	Professional		$2,269.58	$2,269.58	$3,583.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.92 / $2,091.92 / $2,333.04	Facility		$2,091.92	$2,091.92	$2,333.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,890.29 / $2,333.04 / $4,811.14	Professional		$1,890.29	$2,333.04	$4,811.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $739.46 / $1,552.52	Facility		$739.46	$739.46	$1,552.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,366.32 / $1,986.44 / $2,956.10	Professional		$1,366.32	$1,986.44	$2,956.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.85 / $1,191.85 / $2,284.41	Professional		$1,191.85	$1,191.85	$2,284.41