Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.36 / $1,768.36 / $1,768.36	Professional		$1,768.36	$1,768.36	$1,768.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $799.37	Facility		$799.37	$799.37	$799.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $823.35	Professional		$679.46	$799.37	$823.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.30 / $956.33 / $1,410.82	Facility		$563.30	$956.33	$1,410.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $313.41 / $330.12	Professional		$161.22	$313.41	$330.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.00 / $1,349.10 / $1,410.36	Professional		$1,322.00	$1,349.10	$1,410.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.38 / $929.86 / $1,394.78	Facility		$689.38	$929.86	$1,394.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $823.35	Professional		$679.46	$799.37	$823.35
United Facility/Professional Professional Modifier Low / Median / High Price $838.26 / $1,606.67 / $5,477.75	Professional		$838.26	$1,606.67	$5,477.75