Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,520.50 / $6,520.50 / $6,520.50	Professional		$6,520.50	$6,520.50	$6,520.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $6,520.50 / $9,128.70	Facility		$2,968.00	$6,520.50	$9,128.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,858.40 / $3,858.40 / $5,194.00	Professional		$3,858.40	$3,858.40	$5,194.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $7,728.00 / $10,626.00	Facility		$3,495.87	$7,728.00	$10,626.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $5,313.00 / $5,796.00	Professional		$4,105.50	$5,313.00	$5,796.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $6,520.50 / $9,660.00	Facility		$2,968.00	$6,520.50	$9,660.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $4,105.50 / $5,796.00	Professional		$3,360.00	$4,105.50	$5,796.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,300.00 / $6,300.00 / $12,600.00	Professional		$6,300.00	$6,300.00	$12,600.00