Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,647.46 / $3,647.46 / $3,647.46	Professional		$3,647.46	$3,647.46	$3,647.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,775.00	Professional		$1,961.00	$1,961.00	$2,775.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,647.46 / $5,106.43	Facility		$1,961.00	$3,647.46	$5,106.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,745.40	Professional		$1,961.00	$1,961.00	$2,745.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,688.00 / $3,072.00 / $4,224.00	Facility		$2,688.00	$3,072.00	$4,224.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $2,112.00 / $2,304.00	Professional		$1,632.00	$2,112.00	$2,304.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,647.46 / $5,106.43	Facility		$1,961.00	$3,647.46	$5,106.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,304.00 / $2,517.50	Professional		$1,961.00	$2,304.00	$2,517.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,941.50 / $2,941.50 / $5,883.00	Professional		$2,941.50	$2,941.50	$5,883.00