Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,513.56	Professional		$954.99	$1,047.13	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,230.27	Professional		$851.14	$851.14	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,513.56 / $1,698.24	Facility		$512.86	$1,513.56	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $5,754.40	Professional		$1,071.52	$1,778.28	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $1,778.28	Facility		$1,513.56	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,737.80	Professional		$1,380.38	$1,698.24	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,778.28	Facility		$512.86	$512.86	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,174.90 / $1,659.59	Professional		$60.26	$1,174.90	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $912.01	Facility		$794.33	$794.33	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $4,365.16	Professional		$851.14	$1,318.26	$4,365.16