Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,601.49 / $1,601.49 / $1,601.49	Professional		$1,601.49	$1,601.49	$1,601.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $483.07	Professional		$398.65	$469.00	$483.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.63 / $804.06 / $1,281.90	Facility		$507.63	$804.06	$1,281.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $145.32 / $145.32	Professional		$145.32	$145.32	$145.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $1,232.30 / $3,080.75	Professional		$121.53	$1,232.30	$3,080.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $801.32 / $1,267.33	Facility		$469.00	$801.32	$1,267.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $483.07	Professional		$398.65	$469.00	$483.07
United Facility/Professional Professional Modifier Low / Median / High Price $720.22 / $1,380.41 / $2,411.35	Professional		$720.22	$1,380.41	$2,411.35