Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.90 / $2,016.90 / $2,016.90	Professional		$2,016.90	$2,016.90	$2,016.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $2,016.90 / $2,823.66	Facility		$291.27	$2,016.90	$2,823.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.88 / $1,801.88 / $1,801.88	Professional		$1,801.88	$1,801.88	$1,801.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.60 / $2,390.40 / $3,495.87	Facility		$2,091.60	$2,390.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,643.40 / $1,792.80	Professional		$1,269.90	$1,643.40	$1,792.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $2,016.90 / $2,988.00	Facility		$291.27	$2,016.90	$2,988.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,643.40 / $1,792.80	Professional		$1,269.90	$1,643.40	$1,792.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.50 / $1,867.50 / $3,735.00	Professional		$1,867.50	$1,867.50	$3,735.00