Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,047.13	Professional		$794.33	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,398.83	Professional		$1,995.26	$2,344.23	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $489.78 / $794.33	Facility		$97.72	$489.78	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $676.08 / $1,047.13	Professional		$60.26	$676.08	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $977.24	Facility		$91.20	$97.72	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $977.24	Professional		$91.20	$199.53	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $954.99	Facility		$436.52	$588.84	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $954.99 / $2,398.83	Professional		$60.26	$954.99	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $691.83	Facility		$34.67	$263.03	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $933.25 / $1,698.24	Professional		$489.78	$933.25	$1,698.24