Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $1,944.00 / $1,944.00	Professional		$1,944.00	$1,944.00	$1,944.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,944.00 / $2,721.60	Facility		$386.49	$1,944.00	$2,721.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.44 / $502.44 / $676.36	Professional		$502.44	$502.44	$676.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.00 / $2,304.00 / $3,495.87	Facility		$2,016.00	$2,304.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,584.00 / $1,728.00	Professional		$1,224.00	$1,584.00	$1,728.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,944.00 / $2,880.00	Facility		$386.49	$1,944.00	$2,880.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $1,728.00	Professional		$1,224.00	$1,440.00	$1,728.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $3,600.00	Professional		$1,800.00	$1,800.00	$3,600.00