Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.55 / $1,947.55 / $1,947.55	Professional		$1,947.55	$1,947.55	$1,947.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $396.70 / $408.60	Professional		$337.20	$396.70	$408.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.76 / $1,083.83 / $1,764.49	Facility		$698.76	$1,083.83	$1,764.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $176.71 / $176.71	Professional		$176.71	$176.71	$176.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $1,723.16 / $3,970.76	Professional		$154.66	$1,723.16	$3,970.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.26 / $1,073.71 / $1,744.44	Facility		$645.26	$1,073.71	$1,744.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $396.70 / $408.60	Professional		$337.20	$396.70	$408.60
United Facility/Professional Professional Modifier Low / Median / High Price $991.11 / $1,899.63 / $3,468.89	Professional		$991.11	$1,899.63	$3,468.89