Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.19 / $883.19 / $883.19	Professional		$883.19	$883.19	$883.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.69 / $1,346.69 / $1,346.69	Professional		$1,346.69	$1,346.69	$1,346.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $883.19 / $1,236.47 / $1,262.96	Facility		$883.19	$1,236.47	$1,262.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.65 / $405.65 / $579.50	Professional		$405.65	$405.65	$579.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,598.75 / $1,748.25 / $2,347.28	Professional		$1,598.75	$1,748.25	$2,347.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.19 / $1,236.47 / $1,262.96	Facility		$883.19	$1,236.47	$1,262.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.50 / $1,830.00 / $2,347.28	Professional		$579.50	$1,830.00	$2,347.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.35 / $1,082.59 / $2,325.86	Professional		$1,077.35	$1,082.59	$2,325.86