Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.70 / $1,083.70 / $1,083.70	Professional		$1,083.70	$1,083.70	$1,083.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $745.23	Professional		$528.16	$723.52	$745.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $848.06 / $848.06 / $848.06	Facility		$848.06	$848.06	$848.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.82 / $1,201.82 / $1,897.61	Professional		$1,201.82	$1,201.82	$1,897.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,107.74 / $1,107.74 / $1,235.42	Facility		$1,107.74	$1,107.74	$1,235.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.97 / $1,235.42 / $2,547.67	Professional		$1,000.97	$1,235.42	$2,547.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.06 / $848.06 / $853.73	Facility		$848.06	$848.06	$853.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $1,004.99 / $1,482.50	Professional		$723.52	$1,004.99	$1,482.50
United Facility/Professional Professional Modifier Low / Median / High Price $611.44 / $1,209.67 / $1,577.84	Professional		$611.44	$1,209.67	$1,577.84