Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.02 / $2,022.02 / $2,022.02	Professional		$2,022.02	$2,022.02	$2,022.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.23 / $1,223.23 / $1,223.23	Professional		$1,223.23	$1,223.23	$1,223.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.65 / $894.60 / $1,470.13	Facility		$537.65	$894.60	$1,470.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.47 / $183.47	Professional		$183.47	$183.47	$183.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,555.70 / $1,605.80 / $4,122.60	Professional		$1,555.70	$1,605.80	$4,122.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.65 / $894.60 / $1,470.13	Facility		$537.65	$894.60	$1,470.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,223.23 / $1,223.23 / $1,223.23	Professional		$1,223.23	$1,223.23	$1,223.23
United Facility/Professional Professional Modifier Low / Median / High Price $825.77 / $1,582.72 / $2,890.19	Professional		$825.77	$1,582.72	$2,890.19