Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,767.91 / $8,767.91 / $8,767.91	Professional		$8,767.91	$8,767.91	$8,767.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,687.89 / $5,858.53	Professional		$4,834.71	$5,687.89	$5,858.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,667.01 / $6,667.01 / $6,667.01	Facility		$6,667.01	$6,667.01	$6,667.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9,702.51 / $9,702.51 / $9,702.51	Professional		$9,702.51	$9,702.51	$9,702.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,943.01 / $8,943.01 / $8,943.01	Facility		$8,943.01	$8,943.01	$8,943.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,943.01 / $8,943.01 / $8,943.01	Professional		$8,943.01	$8,943.01	$8,943.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,667.01 / $6,667.01 / $6,667.01	Facility		$6,667.01	$6,667.01	$6,667.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,858.53 / $9,721.04	Professional		$4,834.71	$5,858.53	$9,721.04
United Facility/Professional Professional Modifier Low / Median / High Price $5,866.04 / $6,054.97 / $11,605.35	Professional		$5,866.04	$6,054.97	$11,605.35