Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $1,659.59	Professional		$1,445.44	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $891.25	Professional		$724.44	$851.14	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $630.96 / $1,258.93	Facility		$154.88	$630.96	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,148.15 / $1,659.59	Professional		$60.26	$1,148.15	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $158.49 / $1,584.89	Facility		$154.88	$158.49	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $1,584.89	Professional		$131.83	$323.59	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,479.11	Facility		$630.96	$933.25	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $851.14 / $1,659.59	Professional		$60.26	$851.14	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $457.09 / $1,202.26	Facility		$60.26	$457.09	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $2,951.21	Professional		$851.14	$1,621.81	$2,951.21