Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.70 / $960.70 / $1,268.11	Professional		$960.70	$960.70	$1,268.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $736.58	Facility		$736.58	$736.58	$736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $537.70	Professional		$537.70	$537.70	$537.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $241.25 / $241.25	Facility		$241.25	$241.25	$241.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.74 / $1,055.39 / $1,666.41	Professional		$314.74	$1,055.39	$1,666.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.28 / $497.28 / $1,081.91	Facility		$497.28	$497.28	$1,081.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.55 / $1,081.91 / $2,355.40	Professional		$779.55	$1,081.91	$2,355.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $241.25 / $736.58	Facility		$241.25	$241.25	$736.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $929.15 / $2,355.40	Professional		$519.54	$929.15	$2,355.40
United Facility/Professional Professional Modifier Low / Median / High Price $583.50 / $1,118.38 / $2,917.50	Professional		$583.50	$1,118.38	$2,917.50