Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $3,888.00 / $3,888.00	Professional		$3,888.00	$3,888.00	$3,888.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $3,888.00 / $5,443.20	Facility		$2,880.00	$3,888.00	$5,443.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $4,608.00 / $6,336.00	Facility		$3,495.87	$4,608.00	$6,336.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $3,168.00 / $3,456.00	Professional		$2,448.00	$3,168.00	$3,456.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $3,888.00 / $5,760.00	Facility		$2,880.00	$3,888.00	$5,760.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $2,880.00 / $4,320.00	Professional		$396.00	$2,880.00	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $7,200.00	Professional		$3,600.00	$3,600.00	$7,200.00