Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,301.35 / $2,301.35 / $2,301.35	Professional		$2,301.35	$2,301.35	$2,301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,750.87	Professional		$1,237.28	$1,237.28	$1,750.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $2,301.35 / $3,221.89	Facility		$106.56	$2,301.35	$3,221.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,902.25	Professional		$1,237.28	$1,237.28	$1,902.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.37 / $2,688.00 / $3,696.00	Facility		$1,750.37	$2,688.00	$3,696.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.40 / $1,848.00 / $2,016.00	Professional		$1,394.40	$1,848.00	$2,016.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $2,301.35 / $3,360.00	Facility		$1,237.28	$2,301.35	$3,360.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,572.54 / $2,016.00	Professional		$1,237.28	$1,572.54	$2,016.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,855.92 / $1,855.92 / $3,711.84	Professional		$1,855.92	$1,855.92	$3,711.84