Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $2,511.89	Professional		$831.76	$954.99	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $891.25	Professional		$630.96	$630.96	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,884.03 / $2,884.03	Facility		$446.68	$2,884.03	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $5,623.41	Professional		$1,778.28	$2,884.03	$5,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $3,019.95	Facility		$1,584.89	$2,884.03	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $2,951.21	Professional		$2,344.23	$2,884.03	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,905.46	Facility		$446.68	$446.68	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $851.14 / $1,737.80	Professional		$60.26	$851.14	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $891.25	Facility		$676.08	$676.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,187.76 / $7,413.10	Professional		$1,023.29	$2,187.76	$7,413.10