Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $1,148.15	Professional		$457.09	$512.86	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $562.34	Professional		$398.11	$398.11	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $776.25 / $1,318.26	Facility		$245.47	$776.25	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,398.83	Professional		$758.58	$1,318.26	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,318.26 / $1,380.38	Facility		$691.83	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,348.96	Professional		$1,071.52	$1,318.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $1,047.13	Facility		$245.47	$245.47	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $758.58	Professional		$60.26	$549.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $501.19	Facility		$380.19	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $3,388.44	Professional		$575.44	$1,000.00	$3,388.44