Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,970.00 / $2,970.00 / $2,970.00	Professional		$2,970.00	$2,970.00	$2,970.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,970.00 / $4,158.00	Facility		$2,200.00	$2,970.00	$4,158.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,208.34 / $3,208.34 / $3,208.34	Professional		$3,208.34	$3,208.34	$3,208.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,080.00 / $3,520.00 / $4,840.00	Facility		$3,080.00	$3,520.00	$4,840.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,420.00 / $2,640.00	Professional		$1,870.00	$2,420.00	$2,640.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,970.00 / $4,400.00	Facility		$2,200.00	$2,970.00	$4,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,640.00 / $2,750.00	Professional		$1,870.00	$2,640.00	$2,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $3,300.00 / $6,600.00	Professional		$3,300.00	$3,300.00	$6,600.00