Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.19 / $924.12 / $1,700.55	Professional		$718.19	$924.12	$1,700.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.82 / $1,807.82 / $1,807.82	Professional		$1,807.82	$1,807.82	$1,807.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $921.17 / $1,700.55 / $2,601.84	Facility		$921.17	$1,700.55	$2,601.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.89 / $1,020.89 / $1,613.41	Professional		$1,020.89	$1,020.89	$1,613.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.50 / $2,821.14 / $4,343.80	Professional		$1,202.50	$2,821.14	$4,343.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.17 / $1,700.55 / $2,601.84	Facility		$921.17	$1,700.55	$2,601.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,007.55 / $1,903.15 / $4,142.14	Professional		$1,007.55	$1,903.15	$4,142.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,777.52 / $2,323.21 / $3,555.04	Professional		$1,777.52	$2,323.21	$3,555.04