Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $933.25	Professional		$660.69	$776.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $2,089.30	Facility		$691.83	$912.01	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,288.25	Professional		$616.60	$776.25	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,090.30 / $3,630.78	Professional		$1,380.38	$3,090.30	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $2,041.74	Facility		$691.83	$912.01	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $2,238.72	Professional		$79.43	$1,023.29	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,467.37	Professional		$1,174.90	$1,584.89	$3,467.37