Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,779.60 / $2,779.60 / $2,779.60	Professional		$2,779.60	$2,779.60	$2,779.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,114.73	Professional		$1,494.41	$1,494.41	$2,114.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,542.24 / $2,779.60 / $3,891.44	Facility		$1,542.24	$2,779.60	$3,891.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,959.10	Professional		$1,494.41	$1,494.41	$1,959.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,416.00 / $3,963.12 / $5,668.95	Facility		$2,416.00	$3,963.12	$5,668.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,349.56 / $3,113.88 / $3,396.96	Professional		$2,349.56	$3,113.88	$3,396.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $2,958.12 / $5,661.60	Facility		$1,494.41	$2,958.12	$5,661.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,979.71 / $3,538.15	Professional		$1,494.41	$1,979.71	$3,538.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,241.62 / $2,241.62 / $4,483.22	Professional		$2,241.62	$2,241.62	$4,483.22