Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,570.88	Professional		$1,348.96	$1,905.46	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $309.03	Professional		$257.04	$302.00	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,698.24 / $2,691.53	Facility		$426.58	$1,698.24	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,445.44 / $4,570.88	Professional		$60.26	$1,445.44	$4,570.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $426.58 / $4,265.80	Facility		$234.42	$426.58	$4,265.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $4,265.80	Professional		$426.58	$537.03	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,951.21	Facility		$1,698.24	$1,905.46	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $257.04 / $309.03	Professional		$60.26	$257.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $2,754.23	Facility		$138.04	$162.18	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $1,071.52	Professional		$213.80	$416.87	$1,071.52