Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $475.00 / $1,907.98	Professional		$475.00	$475.00	$1,907.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.20 / $1,207.89 / $1,388.37	Professional		$534.20	$1,207.89	$1,388.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.55 / $834.55 / $2,728.41	Facility		$834.55	$834.55	$2,728.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $409.31 / $409.31 / $584.73	Professional		$409.31	$409.31	$584.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.75 / $1,600.30 / $2,677.53	Professional		$1,328.75	$1,600.30	$2,677.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,907.98 / $2,613.92 / $2,728.41	Facility		$1,907.98	$2,613.92	$2,728.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.89 / $1,600.30 / $2,671.20	Professional		$558.89	$1,600.30	$2,671.20
United Facility/Professional Professional Modifier Low / Median / High Price $748.81 / $1,504.56 / $4,974.00	Professional		$748.81	$1,504.56	$4,974.00