Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,995.26	Professional		$588.84	$676.08	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $676.08	Professional		$457.09	$457.09	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,174.90 / $2,238.72	Facility		$323.59	$1,174.90	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $3,548.13	Professional		$1,096.48	$2,238.72	$3,548.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,290.87 / $2,344.23	Facility		$1,000.00	$2,290.87	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,344.23	Professional		$1,862.09	$2,290.87	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,380.38	Facility		$323.59	$323.59	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $630.96 / $1,071.52	Professional		$60.26	$630.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $562.34	Facility		$501.19	$501.19	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,737.80 / $5,754.40	Professional		$758.58	$1,737.80	$5,754.40