Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,202.26	Professional		$758.58	$831.76	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Professional		$660.69	$660.69	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,318.26 / $1,318.26	Facility		$407.38	$1,318.26	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $4,466.84	Professional		$1,023.29	$1,412.54	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,412.54	Facility		$1,202.26	$1,348.96	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,380.38	Professional		$1,096.48	$1,348.96	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,412.54	Facility		$407.38	$407.38	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $912.01 / $1,318.26	Professional		$60.26	$912.01	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Facility		$616.60	$616.60	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $3,388.44	Professional		$660.69	$1,096.48	$3,388.44