Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Professional		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,620.00 / $2,268.00	Facility		$1,200.00	$1,620.00	$2,268.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $986.24 / $986.24 / $986.24	Professional		$986.24	$986.24	$986.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $1,920.00 / $3,495.87	Facility		$1,680.00	$1,920.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,320.00 / $1,440.00	Professional		$1,020.00	$1,320.00	$1,440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,620.00 / $2,400.00	Facility		$1,200.00	$1,620.00	$2,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,200.00 / $1,440.00	Professional		$1,020.00	$1,200.00	$1,440.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.49 / $1,183.49 / $2,366.96	Professional		$1,183.49	$1,183.49	$2,366.96