Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,584.89	Professional		$977.24	$1,071.52	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Professional		$758.58	$758.58	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,737.80 / $1,737.80	Facility		$524.81	$1,737.80	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $5,888.44	Professional		$1,348.96	$1,819.70	$5,888.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,819.70	Facility		$1,584.89	$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 $524.81 / $524.81 / $1,819.70	Facility		$524.81	$524.81	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,023.29 / $1,698.24	Professional		$60.26	$1,023.29	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Facility		$812.83	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $4,466.84	Professional		$870.96	$1,412.54	$4,466.84