Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.76 / $1,155.28 / $2,256.12	Professional		$897.76	$1,155.28	$2,256.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,593.46 / $2,593.46 / $2,593.46	Professional		$2,593.46	$2,593.46	$2,593.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,268.58 / $2,256.12 / $3,451.86	Facility		$1,268.58	$2,256.12	$3,451.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.20 / $1,355.20 / $2,141.73	Professional		$1,355.20	$1,355.20	$2,141.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.15 / $4,047.12 / $5,766.23	Professional		$1,619.15	$4,047.12	$5,766.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.28 / $2,256.12 / $3,451.86	Facility		$1,155.28	$2,256.12	$3,451.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,379.58 / $2,730.20 / $5,942.20	Professional		$1,379.58	$2,730.20	$5,942.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,447.90 / $3,078.44 / $5,284.66	Professional		$2,447.90	$3,078.44	$5,284.66