Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.62 / $1,967.02 / $1,967.02	Professional		$817.62	$1,967.02	$1,967.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $870.74	Professional		$718.57	$718.57	$870.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $527.20 / $885.76 / $1,349.15	Facility		$527.20	$885.76	$1,349.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $179.00	Professional		$179.00	$179.00	$179.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.52 / $1,314.64 / $2,324.66	Professional		$749.52	$1,314.64	$2,324.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.20 / $860.58 / $1,349.15	Facility		$527.20	$860.58	$1,349.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $718.57 / $845.38	Professional		$114.18	$718.57	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $168.98 / $334.38	Professional		$88.16	$168.98	$334.38