Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,621.81	Professional		$870.96	$1,122.02	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,513.56 / $1,737.80	Facility		$512.86	$1,513.56	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $5,754.40	Professional		$1,737.80	$1,819.70	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $1,819.70	Facility		$1,659.59	$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 $512.86 / $512.86 / $1,862.09	Facility		$512.86	$512.86	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,000.00 / $1,778.28	Professional		$60.26	$1,000.00	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,047.13	Facility		$794.33	$794.33	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $4,466.84	Professional		$851.14	$1,318.26	$4,466.84