Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.32 / $1,030.32 / $1,030.32	Professional		$1,030.32	$1,030.32	$1,030.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $783.87	Professional		$553.94	$553.94	$783.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $1,030.32 / $1,442.45	Facility		$194.83	$1,030.32	$1,442.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $830.91	Professional		$553.94	$553.94	$830.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.10 / $2,000.00 / $3,495.87	Facility		$385.10	$2,000.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.50 / $1,375.00 / $1,500.00	Professional		$1,037.50	$1,375.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $1,030.32 / $2,500.00	Facility		$553.94	$1,030.32	$2,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $656.18 / $1,500.00	Professional		$553.94	$656.18	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $830.91 / $846.26 / $1,661.82	Professional		$830.91	$846.26	$1,661.82