Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.78 / $1,473.78 / $1,473.78	Professional		$1,473.78	$1,473.78	$1,473.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $606.51	Facility		$606.51	$606.51	$606.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $606.51 / $624.71	Professional		$515.53	$606.51	$624.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.46 / $790.14 / $1,175.42	Facility		$465.46	$790.14	$1,175.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $133.31 / $140.33	Professional		$133.30	$133.31	$140.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $111.48 / $2,778.00	Professional		$111.12	$111.48	$2,778.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.35 / $774.71 / $1,162.06	Facility		$574.35	$774.71	$1,162.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $606.51 / $624.71	Professional		$515.53	$606.51	$624.71
United Facility/Professional Professional Modifier Low / Median / High Price $698.58 / $1,455.38 / $2,445.03	Professional		$698.58	$1,455.38	$2,445.03