Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,677.35 / $6,760.83	Professional		$4,265.80	$4,677.35	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,570.88	Professional		$3,715.35	$3,715.35	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $7,413.10	Facility		$2,238.72	$2,238.72	$7,413.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $7,413.10	Professional		$3,981.07	$7,413.10	$7,413.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $7,762.47	Facility		$2,238.72	$2,238.72	$7,762.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $4,365.16 / $7,244.36	Professional		$60.26	$4,365.16	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,248.07	Facility		$4,677.35	$4,677.35	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,677.35 / $16,982.44	Professional		$4,570.88	$4,677.35	$16,982.44