Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,513.56	Professional		$630.96	$912.01	$1,513.56
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 / $758.58	Professional		$524.81	$524.81	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,318.26 / $1,737.80	Facility		$371.54	$1,318.26	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $4,570.88	Professional		$1,479.11	$1,737.80	$4,570.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,819.70	Facility		$1,318.26	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,778.28	Professional		$1,412.54	$1,737.80	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,548.82	Facility		$371.54	$371.54	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $707.95 / $1,445.44	Professional		$60.26	$707.95	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Facility		$562.34	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $4,466.84	Professional		$851.14	$1,348.96	$4,466.84