Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,513.56	Professional		$831.76	$954.99	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $954.99	Professional		$645.65	$645.65	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,445.44 / $1,737.80	Facility		$457.09	$1,445.44	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $4,897.79	Professional		$1,548.82	$1,737.80	$4,897.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,819.70	Facility		$1,412.54	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,778.28	Professional		$1,412.54	$1,737.80	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,778.28	Facility		$457.09	$457.09	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $891.25 / $1,513.56	Professional		$60.26	$891.25	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Facility		$707.95	$707.95	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $4,466.84	Professional		$851.14	$1,318.26	$4,466.84