Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.37 / $2,130.37 / $2,130.37	Professional		$2,130.37	$2,130.37	$2,130.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $816.59 / $841.09	Professional		$694.10	$816.59	$841.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $682.79 / $816.54 / $1,257.22	Facility		$682.79	$816.54	$1,257.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.84 / $193.84 / $193.84	Professional		$193.84	$193.84	$193.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.76 / $1,423.84 / $2,499.48	Professional		$230.76	$1,423.84	$2,499.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.79 / $816.59 / $1,232.98	Facility		$682.79	$816.59	$1,232.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $816.59 / $841.09	Professional		$694.10	$816.59	$841.09
United Facility/Professional Professional Modifier Low / Median / High Price $565.76 / $1,084.38 / $2,427.92	Professional		$565.76	$1,084.38	$2,427.92