Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $676.08 / $1,230.27	Facility		$141.25	$676.08	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,047.13 / $1,513.56	Professional		$60.26	$1,047.13	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $1,445.44	Facility		$141.25	$144.54	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $1,445.44	Professional		$120.23	$295.12	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,318.26	Facility		$501.19	$831.76	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,047.13 / $1,513.56	Professional		$60.26	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $416.87 / $1,096.48	Facility		$54.95	$416.87	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $2,691.53	Professional		$776.25	$1,479.11	$2,691.53