Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,513.56	Professional		$1,202.26	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,884.03	Facility		$1,288.25	$2,041.74	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $537.03	Professional		$194.98	$309.03	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,467.37	Facility		$2,089.30	$2,398.83	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,819.70	Professional		$1,513.56	$1,659.59	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,238.72	Facility		$177.83	$1,513.56	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,258.93	Professional		$125.89	$125.89	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $3,162.28	Professional		$177.83	$389.05	$3,162.28