Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.94 / $768.00 / $1,456.24	Professional		$596.94	$768.00	$1,456.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.66 / $1,652.66 / $1,652.66	Professional		$1,652.66	$1,652.66	$1,652.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $822.89 / $1,456.24 / $2,228.05	Facility		$822.89	$1,456.24	$2,228.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $876.31 / $876.31 / $1,384.91	Professional		$876.31	$876.31	$1,384.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.99 / $2,579.21 / $3,728.60	Professional		$1,046.99	$2,579.21	$3,728.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $1,456.24 / $2,228.05	Facility		$768.00	$1,456.24	$2,228.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.65 / $1,739.95 / $3,786.95	Professional		$894.65	$1,739.95	$3,786.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,587.88 / $1,587.88 / $2,778.79	Professional		$1,587.88	$1,587.88	$2,778.79