Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,908.37 / $4,908.37 / $4,908.37	Professional		$4,908.37	$4,908.37	$4,908.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,536.46 / $4,672.55	Professional		$3,855.99	$4,536.46	$4,672.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,652.75 / $1,652.75 / $1,652.75	Facility		$1,652.75	$1,652.75	$1,652.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,325.01 / $5,325.01 / $8,407.91	Professional		$5,325.01	$5,325.01	$8,407.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,473.90 / $5,473.90 / $5,473.90	Facility		$5,473.90	$5,473.90	$5,473.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,435.09 / $5,473.90 / $11,288.18	Professional		$4,435.09	$5,473.90	$11,288.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,652.75 / $1,652.75 / $4,536.46	Facility		$1,652.75	$1,652.75	$4,536.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,926.54 / $4,660.68 / $6,935.75	Professional		$3,926.54	$4,660.68	$6,935.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,796.41 / $2,796.41 / $5,359.79	Professional		$2,796.41	$2,796.41	$5,359.79