Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,475.90 / $3,475.90 / $3,475.90	Professional		$3,475.90	$3,475.90	$3,475.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $2,823.88	Professional		$2,001.39	$2,741.63	$2,823.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $1,357.23 / $1,357.23	Facility		$1,357.23	$1,357.23	$1,357.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,770.94 / $4,302.29 / $5,954.12	Professional		$3,770.94	$4,302.29	$5,954.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,876.38 / $3,965.52 / $3,965.52	Facility		$3,876.38	$3,965.52	$3,965.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,140.74 / $3,876.38 / $7,993.80	Professional		$3,140.74	$3,876.38	$7,993.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $1,357.23 / $3,300.50	Facility		$1,357.23	$1,357.23	$3,300.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,741.63 / $3,300.50 / $5,307.11	Professional		$2,741.63	$3,300.50	$5,307.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,980.30 / $1,980.30 / $3,795.58	Professional		$1,980.30	$1,980.30	$3,795.58