Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,867.38 / $6,867.38 / $6,867.38	Professional		$6,867.38	$6,867.38	$6,867.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,224.72	Professional		$3,692.14	$3,692.14	$5,224.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $6,867.38 / $9,614.33	Facility		$3,774.77	$6,867.38	$9,614.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,799.78	Professional		$3,692.14	$3,692.14	$4,799.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $5,472.00 / $7,524.00	Facility		$3,495.87	$5,472.00	$7,524.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,907.00 / $3,762.00 / $4,104.00	Professional		$2,907.00	$3,762.00	$4,104.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $6,867.38 / $9,614.33	Facility		$3,692.14	$6,867.38	$9,614.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,562.50 / $3,736.50 / $4,104.00	Professional		$3,562.50	$3,736.50	$4,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,538.21 / $5,538.21 / $11,076.42	Professional		$5,538.21	$5,538.21	$11,076.42