Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,663.99 / $3,663.99 / $3,663.99	Professional		$3,663.99	$3,663.99	$3,663.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,787.58	Professional		$1,969.89	$1,969.89	$2,787.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $3,663.99 / $5,129.59	Facility		$1,789.55	$3,663.99	$5,129.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,560.86	Professional		$1,969.89	$1,969.89	$2,560.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $4,321.92 / $5,942.64	Facility		$3,495.87	$4,321.92	$5,942.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,296.02 / $2,971.32 / $3,241.44	Professional		$2,296.02	$2,971.32	$3,241.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,756.80 / $3,663.99 / $5,129.59	Facility		$1,756.80	$3,663.99	$5,129.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.24 / $1,706.40 / $2,813.75	Professional		$966.24	$1,706.40	$2,813.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,954.84 / $2,954.84 / $5,909.67	Professional		$2,954.84	$2,954.84	$5,909.67