Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,348.96	Professional		$851.14	$933.25	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,202.26	Professional		$812.83	$812.83	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,318.26 / $1,513.56	Facility		$457.09	$1,318.26	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $5,128.61	Professional		$1,148.15	$1,584.89	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,584.89	Facility		$1,348.96	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,548.82	Professional		$1,230.27	$1,513.56	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,584.89	Facility		$457.09	$457.09	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,122.02 / $1,479.11	Professional		$60.26	$1,122.02	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Facility		$707.95	$707.95	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $3,890.45	Professional		$741.31	$1,348.96	$3,890.45