Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,284.48 / $2,284.48 / $2,284.48	Professional		$2,284.48	$2,284.48	$2,284.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $109.54	Professional		$93.11	$109.54	$109.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.89 / $937.65 / $1,563.10	Facility		$520.89	$937.65	$1,563.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $207.28 / $207.28	Professional		$207.28	$207.28	$207.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $1,733.40 / $4,394.25	Professional		$181.43	$1,733.40	$4,394.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.72 / $937.65 / $1,563.10	Facility		$540.72	$937.65	$1,563.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $206.88	Professional		$93.11	$109.54	$206.88
United Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $208.64 / $381.00	Professional		$108.86	$208.64	$381.00