Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,778.28	Professional		$1,047.13	$1,148.15	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,230.27	Professional		$870.96	$870.96	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,412.54 / $1,862.09	Facility		$616.60	$1,412.54	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $4,786.30	Professional		$1,412.54	$1,862.09	$4,786.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,698.24	Facility		$1,445.44	$1,445.44	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,698.24	Professional		$1,174.90	$1,445.44	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,949.84	Facility		$616.60	$616.60	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,202.26 / $1,737.80	Professional		$60.26	$1,202.26	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,096.48	Facility		$954.99	$954.99	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $3,630.78	Professional		$724.44	$1,412.54	$3,630.78