Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,503.05 / $2,503.05 / $2,503.05	Professional		$2,503.05	$2,503.05	$2,503.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $463.50	Professional		$382.50	$450.00	$463.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.94 / $729.73 / $1,191.96	Facility		$471.94	$729.73	$1,191.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.12 / $227.12 / $227.12	Professional		$227.12	$227.12	$227.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,987.80 / $1,987.80 / $4,814.50	Professional		$1,987.80	$1,987.80	$4,814.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $724.10 / $1,178.42	Facility		$450.00	$724.10	$1,178.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $463.50	Professional		$382.50	$450.00	$463.50
United Facility/Professional Professional Modifier Low / Median / High Price $669.62 / $1,283.43 / $2,343.66	Professional		$669.62	$1,283.43	$2,343.66