Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,538.88 / $3,538.88 / $3,538.88	Professional		$3,538.88	$3,538.88	$3,538.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,692.39	Professional		$1,902.62	$1,902.62	$2,692.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $3,538.88 / $4,954.43	Facility		$2,038.50	$3,538.88	$4,954.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,473.41	Professional		$1,902.62	$1,902.62	$2,473.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $4,320.00 / $5,940.00	Facility		$3,495.87	$4,320.00	$5,940.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,295.00 / $2,970.00 / $3,240.00	Professional		$2,295.00	$2,970.00	$3,240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $3,538.88 / $5,400.00	Facility		$1,902.62	$3,538.88	$5,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,957.64 / $3,240.00	Professional		$1,902.62	$2,957.64	$3,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,853.93 / $2,853.93 / $5,707.86	Professional		$2,853.93	$2,853.93	$5,707.86