Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,847.36 / $3,847.36 / $3,847.36	Professional		$3,847.36	$3,847.36	$3,847.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,927.08	Professional		$2,068.46	$2,068.46	$2,927.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,220.57 / $3,847.36 / $5,386.30	Facility		$2,220.57	$3,847.36	$5,386.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,689.01	Professional		$2,068.46	$2,068.46	$2,689.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $5,318.40 / $7,312.80	Facility		$3,495.87	$5,318.40	$7,312.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,825.40 / $3,656.40 / $3,988.80	Professional		$2,825.40	$3,656.40	$3,988.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.00 / $3,847.36 / $5,386.30	Facility		$948.00	$3,847.36	$5,386.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.40 / $2,244.10 / $3,462.50	Professional		$521.40	$2,244.10	$3,462.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,102.71 / $3,102.71 / $6,205.41	Professional		$3,102.71	$3,102.71	$6,205.41