Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,233.98 / $2,233.98 / $2,233.98	Professional		$2,233.98	$2,233.98	$2,233.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.98 / $1,743.98 / $1,743.98	Professional		$1,743.98	$1,743.98	$1,743.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.46 / $1,197.56 / $1,781.47	Facility		$705.46	$1,197.56	$1,781.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $202.05 / $212.68	Professional		$202.04	$202.05	$212.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $1,491.92 / $1,766.13	Professional		$176.48	$1,491.92	$1,766.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.46 / $1,197.56 / $1,781.47	Facility		$705.46	$1,197.56	$1,781.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,743.98 / $1,743.98 / $1,743.98	Professional		$1,743.98	$1,743.98	$1,743.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.88 / $2,029.52 / $3,529.19	Professional		$1,058.88	$2,029.52	$3,529.19