Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,258.93	Professional		$794.33	$870.96	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Professional		$602.56	$602.56	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,258.93 / $1,412.54	Facility		$426.58	$1,258.93	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $4,786.30	Professional		$1,071.52	$1,479.11	$4,786.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,479.11	Facility		$1,258.93	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,445.44	Professional		$1,148.15	$1,412.54	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,479.11	Facility		$426.58	$426.58	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $831.76 / $1,380.38	Professional		$60.26	$831.76	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $870.96	Facility		$660.69	$660.69	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $3,630.78	Professional		$707.95	$1,148.15	$3,630.78