Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,258.93	Professional		$575.44	$707.95	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $812.83	Professional		$562.34	$562.34	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,096.48 / $1,412.54	Facility		$338.84	$1,096.48	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,630.78	Professional		$1,148.15	$1,412.54	$3,630.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,479.11	Facility		$1,023.29	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,445.44	Professional		$1,148.15	$1,412.54	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,412.54	Facility		$338.84	$338.84	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $1,122.02	Professional		$60.26	$776.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Facility		$512.86	$512.86	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $3,630.78	Professional		$707.95	$1,096.48	$3,630.78