Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,187.76	Professional		$954.99	$1,096.48	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,148.15	Professional		$954.99	$1,122.02	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $776.25 / $1,445.44	Facility		$173.78	$776.25	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $954.99 / $2,187.76	Professional		$60.26	$954.99	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $2,041.74	Facility		$169.82	$204.17	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $2,041.74	Professional		$194.98	$346.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,778.28	Facility		$776.25	$1,096.48	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,122.02 / $1,949.84	Professional		$60.26	$1,122.02	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $537.03 / $1,412.54	Facility		$74.13	$537.03	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $3,467.37	Professional		$977.24	$1,905.46	$3,467.37