Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,011.87 / $5,011.87	Facility		$758.58	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $1,348.96	Professional		$758.58	$776.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $776.25 / $1,412.54	Facility		$426.58	$776.25	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,949.84	Professional		$776.25	$933.25	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $2,951.21	Facility		$776.25	$1,905.46	$2,951.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,621.81	Professional		$1,348.96	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $776.25 / $1,445.44	Facility		$257.04	$776.25	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,202.26	Professional		$870.96	$1,202.26	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $2,187.76	Professional		$741.31	$1,174.90	$2,187.76