Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.37 / $1,958.37 / $1,958.37	Professional		$1,958.37	$1,958.37	$1,958.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,489.93	Professional		$1,052.89	$1,052.89	$1,489.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,958.37 / $2,741.72	Facility		$871.37	$1,958.37	$2,741.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,305.58	Professional		$1,052.89	$1,052.89	$1,305.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.76 / $543.73 / $3,495.87	Facility		$475.76	$543.73	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.17 / $373.81 / $407.80	Professional		$317.17	$373.81	$407.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.66 / $1,958.37 / $2,741.72	Facility		$679.66	$1,958.37	$2,741.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $375.23 / $1,142.28	Professional		$339.83	$375.23	$1,142.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,579.34 / $1,579.34 / $3,158.67	Professional		$1,579.34	$1,579.34	$3,158.67