Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.69 / $541.57 / $1,176.92	Professional		$516.69	$541.57	$1,176.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.97 / $730.99 / $1,739.56	Professional		$485.97	$730.99	$1,739.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.94 / $1,176.92 / $1,920.61	Facility		$493.94	$1,176.92	$1,920.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.58 / $1,608.16 / $3,719.27	Professional		$1,248.58	$1,608.16	$3,719.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.00 / $1,930.00 / $2,828.70	Professional		$1,076.00	$1,930.00	$2,828.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.94 / $1,176.92 / $1,920.61	Facility		$493.94	$1,176.92	$1,920.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $1,380.99 / $2,694.00	Professional		$604.41	$1,380.99	$2,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.51 / $1,324.56 / $3,673.14	Professional		$520.51	$1,324.56	$3,673.14