Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,184.00 / $5,184.00 / $5,184.00	Professional		$5,184.00	$5,184.00	$5,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,840.00 / $7,413.12	Facility		$3,072.00	$3,840.00	$7,413.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,376.00 / $5,376.00 / $8,448.00	Facility		$5,376.00	$5,376.00	$8,448.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $4,224.00 / $4,608.00	Professional		$3,840.00	$4,224.00	$4,608.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $5,184.00 / $7,680.00	Facility		$3,840.00	$5,184.00	$7,680.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $4,377.60 / $4,997.76	Professional		$3,264.00	$4,377.60	$4,997.76
United Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $4,800.00 / $6,455.04	Professional		$3,360.00	$4,800.00	$6,455.04