Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,778.28	Professional		$1,412.54	$1,445.44	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,041.74	Professional		$1,412.54	$1,412.54	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $3,801.89	Facility		$1,698.24	$2,630.27	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $537.03	Professional		$194.98	$309.03	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,801.89	Facility		$2,454.71	$2,754.23	$3,801.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,089.30	Professional		$1,737.80	$1,905.46	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,778.28 / $2,951.21	Facility		$177.83	$1,778.28	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,819.70	Professional		$125.89	$125.89	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $3,715.35	Professional		$190.55	$446.68	$3,715.35