Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,701.19 / $2,701.19 / $2,701.19	Professional		$2,701.19	$2,701.19	$2,701.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,055.07	Professional		$1,452.25	$1,452.25	$2,055.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $2,701.19 / $3,781.67	Facility		$1,725.04	$2,701.19	$3,781.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,178.38	Professional		$1,452.25	$1,452.25	$2,178.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,351.67 / $2,880.00 / $3,960.00	Facility		$2,351.67	$2,880.00	$3,960.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,646.18 / $1,980.00 / $2,160.00	Professional		$1,646.18	$1,980.00	$2,160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $2,701.19 / $3,781.67	Facility		$1,452.25	$2,701.19	$3,781.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,115.05 / $1,575.56 / $2,700.00	Professional		$1,115.05	$1,575.56	$2,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,178.38 / $2,178.38 / $4,356.75	Professional		$2,178.38	$2,178.38	$4,356.75