Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.27 / $960.24 / $1,803.77	Professional		$746.27	$960.24	$1,803.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,080.92 / $2,080.92 / $2,080.92	Professional		$2,080.92	$2,080.92	$2,080.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.93 / $1,803.77 / $2,759.77	Facility		$1,044.93	$1,803.77	$2,759.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.28 / $1,104.28 / $1,745.19	Professional		$1,104.28	$1,104.28	$1,745.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.36 / $3,247.02 / $4,700.22	Professional		$1,319.36	$3,247.02	$4,700.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.24 / $1,803.77 / $2,759.77	Facility		$960.24	$1,803.77	$2,759.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,136.33 / $2,190.44 / $4,767.45	Professional		$1,136.33	$2,190.44	$4,767.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.34 / $2,413.98 / $3,528.60	Professional		$2,016.34	$2,413.98	$3,528.60