Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,052.13 / $3,052.13 / $3,052.13	Professional		$3,052.13	$3,052.13	$3,052.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,322.07	Professional		$1,640.93	$1,640.93	$2,322.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $3,052.13 / $4,272.97	Facility		$1,640.93	$3,052.13	$4,272.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,297.30	Professional		$1,640.93	$1,640.93	$2,297.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,184.00 / $2,496.00 / $3,495.87	Facility		$2,184.00	$2,496.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,716.00 / $1,872.00	Professional		$1,326.00	$1,716.00	$1,872.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $3,052.13 / $4,272.97	Facility		$1,640.93	$3,052.13	$4,272.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,633.50 / $1,782.00 / $2,043.84	Professional		$1,633.50	$1,782.00	$2,043.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,461.40 / $2,461.40 / $4,922.79	Professional		$2,461.40	$2,461.40	$4,922.79