Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $977.24 / $1,548.82	Professional		$954.99	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,238.72	Facility		$1,548.82	$1,548.82	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $1,548.82	Professional		$933.25	$977.24	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,621.81 / $2,570.40	Facility		$588.84	$1,621.81	$2,570.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,238.72	Facility		$1,548.82	$1,548.82	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,691.53	Professional		$954.99	$1,445.44	$2,691.53