Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,776.86 / $1,776.86 / $1,776.86	Professional		$1,776.86	$1,776.86	$1,776.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $1,700.43	Professional		$1,403.27	$1,650.90	$1,700.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $926.42 / $926.42	Facility		$926.42	$926.42	$926.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,927.69 / $1,927.69 / $3,043.73	Professional		$1,927.69	$1,927.69	$3,043.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,981.59 / $1,981.59 / $1,981.59	Facility		$1,981.59	$1,981.59	$1,981.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,634.56 / $1,981.59 / $4,086.40	Professional		$1,634.56	$1,981.59	$4,086.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $926.42 / $1,650.90	Facility		$926.42	$926.42	$1,650.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,421.43 / $1,700.43 / $2,510.78	Professional		$1,421.43	$1,700.43	$2,510.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $2,162.13 / $2,162.13	Facility		$1,224.69	$2,162.13	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $980.74 / $1,012.32 / $1,940.28	Professional		$980.74	$1,012.32	$1,940.28