Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,868.71 / $1,868.71 / $1,868.71	Professional		$1,868.71	$1,868.71	$1,868.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,150.08	Professional		$949.10	$1,116.58	$1,150.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,063.46 / $1,063.46 / $1,453.73	Facility		$1,063.46	$1,063.46	$1,453.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $1,617.72 / $1,793.08	Professional		$170.34	$1,617.72	$1,793.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $1,526.27 / $3,317.98	Professional		$220.84	$1,526.27	$3,317.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.46 / $1,073.78 / $1,453.73	Facility		$1,063.46	$1,073.78	$1,453.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,150.08	Professional		$949.10	$1,116.58	$1,150.08
United Facility/Professional Professional Modifier Low / Median / High Price $886.04 / $1,698.25 / $2,929.61	Professional		$886.04	$1,698.25	$2,929.61