Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.13 / $1,260.13 / $1,260.13	Professional		$1,260.13	$1,260.13	$1,260.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.99 / $1,801.99 / $1,801.99	Facility		$1,801.99	$1,801.99	$1,801.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.80 / $1,306.80 / $2,053.55	Facility		$1,306.80	$1,306.80	$2,053.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.80 / $1,801.99 / $3,080.32	Facility		$1,306.80	$1,801.99	$3,080.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $1,166.79 / $1,569.10	Professional		$777.86	$1,166.79	$1,569.10