Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.51 / $1,423.51 / $1,423.51	Professional		$1,423.51	$1,423.51	$1,423.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Facility		$795.00	$795.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $818.85	Professional		$675.75	$795.00	$818.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.10 / $745.65 / $1,131.33	Facility		$444.10	$745.65	$1,131.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $130.85 / $137.74	Professional		$129.79	$130.85	$137.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $1,055.90 / $2,798.14	Professional		$263.98	$1,055.90	$2,798.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $522.40 / $790.20 / $1,118.47	Facility		$522.40	$790.20	$1,118.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $818.85	Professional		$675.75	$795.00	$818.85
United Facility/Professional Professional Modifier Low / Median / High Price $674.82 / $1,293.41 / $2,361.87	Professional		$674.82	$1,293.41	$2,361.87