Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.95 / $1,162.95 / $1,162.95	Professional		$1,162.95	$1,162.95	$1,162.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.96 / $818.96 / $818.96	Professional		$818.96	$818.96	$818.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.95 / $1,628.13 / $1,663.02	Facility		$1,162.95	$1,628.13	$1,663.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.35 / $281.23 / $2,670.54	Professional		$218.35	$281.23	$2,670.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $2,089.80 / $3,990.40	Professional		$364.50	$2,089.80	$3,990.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.95 / $1,628.13 / $1,663.02	Facility		$1,162.95	$1,628.13	$1,663.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $2,523.40 / $5,459.72	Professional		$105.79	$2,523.40	$5,459.72
United Facility/Professional Professional Modifier Low / Median / High Price $871.72 / $1,851.18 / $2,792.70	Professional		$871.72	$1,851.18	$2,792.70