Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.05 / $1,246.05 / $1,246.05	Professional		$1,246.05	$1,246.05	$1,246.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,781.85 / $1,781.85 / $1,781.85	Facility		$1,781.85	$1,781.85	$1,781.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.20 / $1,292.20 / $2,030.60	Facility		$1,292.20	$1,292.20	$2,030.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,760.00 / $2,904.00	Facility		$1,232.00	$1,760.00	$2,904.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $1,153.76 / $1,551.57	Professional		$769.17	$1,153.76	$1,551.57