Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.46 / $1,575.46 / $1,575.46	Professional		$1,575.46	$1,575.46	$1,575.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $1,052.73	Professional		$868.76	$1,022.07	$1,052.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,198.01 / $1,198.01 / $1,198.01	Facility		$1,198.01	$1,198.01	$1,198.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.32 / $1,697.32 / $1,697.32	Professional		$1,697.32	$1,697.32	$1,697.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,564.46 / $1,564.46 / $1,564.46	Facility		$1,564.46	$1,564.46	$1,564.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,564.46 / $1,564.46 / $1,564.46	Professional		$1,564.46	$1,564.46	$1,564.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,198.01 / $1,198.01 / $1,198.01	Facility		$1,198.01	$1,198.01	$1,198.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,052.73 / $1,700.57	Professional		$868.76	$1,052.73	$1,700.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.03 / $1,088.03 / $2,085.39	Professional		$1,088.03	$1,088.03	$2,085.39