Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,698.24	Professional		$645.65	$741.31	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $741.31	Professional		$524.81	$524.81	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,096.48 / $1,905.46	Facility		$346.74	$1,096.48	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,801.89	Professional		$1,202.26	$1,905.46	$3,801.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $1,995.26	Facility		$1,096.48	$1,905.46	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $1,949.84	Professional		$1,548.82	$1,905.46	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,479.11	Facility		$346.74	$346.74	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $707.95 / $1,174.90	Professional		$60.26	$707.95	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $616.60	Facility		$537.03	$537.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $4,897.79	Professional		$831.76	$1,479.11	$4,897.79