Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,445.44	Professional		$870.96	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,041.74	Facility		$1,445.44	$1,445.44	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $501.19 / $1,445.44	Professional		$60.26	$501.19	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $2,344.23	Facility		$741.31	$1,479.11	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,041.74	Facility		$1,445.44	$1,445.44	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $912.01	Professional		$60.26	$181.97	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,454.71	Professional		$891.25	$1,318.26	$2,454.71