Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,096.48	Professional		$912.01	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $436.52	Professional		$363.08	$426.58	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $478.63 / $831.76	Facility		$100.00	$478.63	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $741.31 / $1,096.48	Professional		$60.26	$741.31	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $1,023.29	Facility		$100.00	$102.33	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $1,023.29	Professional		$97.72	$208.93	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $891.25	Facility		$398.11	$602.56	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $426.58 / $1,047.13	Professional		$60.26	$426.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $288.40 / $758.58	Facility		$38.02	$288.40	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,862.09	Professional		$537.03	$1,023.29	$1,862.09