Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,071.52	Professional		$660.69	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $416.87	Professional		$346.74	$407.38	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $616.60	Facility		$100.00	$100.00	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $794.33 / $1,071.52	Professional		$60.26	$794.33	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $1,000.00	Facility		$70.79	$100.00	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $1,000.00	Professional		$83.18	$204.17	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $707.95	Facility		$346.74	$478.63	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $407.38 / $794.33	Professional		$60.26	$407.38	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $302.00 / $575.44	Facility		$41.69	$302.00	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,905.46	Professional		$407.38	$776.25	$1,905.46