Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.60 / $1,689.60 / $1,689.60	Professional		$1,689.60	$1,689.60	$1,689.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $902.06 / $929.12	Professional		$766.75	$902.06	$929.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.05 / $913.25 / $1,348.16	Facility		$538.05	$913.25	$1,348.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $154.09 / $162.19	Professional		$154.05	$154.09	$162.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $1,128.40 / $1,346.83	Professional		$133.47	$1,128.40	$1,346.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.76 / $902.06 / $1,332.84	Facility		$658.76	$902.06	$1,332.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $902.06 / $929.12	Professional		$766.75	$902.06	$929.12
United Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $510.12 / $1,252.48	Facility		$68.02	$510.12	$1,252.48
United Facility/Professional Professional Modifier Low / Median / High Price $800.88 / $1,535.02 / $2,803.08	Professional		$800.88	$1,535.02	$2,803.08