Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,264.90 / $2,264.90 / $2,264.90	Professional		$2,264.90	$2,264.90	$2,264.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $110.86	Professional		$91.49	$107.63	$110.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.05 / $1,061.34 / $1,757.54	Facility		$583.05	$1,061.34	$1,757.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $205.50 / $205.50	Professional		$180.84	$205.50	$205.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $1,515.36 / $4,356.50	Professional		$179.87	$1,515.36	$4,356.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.10 / $1,022.45 / $1,757.54	Facility		$521.10	$1,022.45	$1,757.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $181.19	Professional		$91.49	$107.63	$181.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $206.85 / $377.73	Professional		$107.92	$206.85	$377.73