Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,737.80	Professional		$831.76	$977.24	$1,737.80
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 $660.69 / $660.69 / $933.25	Professional		$660.69	$660.69	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,548.82 / $1,949.84	Facility		$467.74	$1,548.82	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $5,011.87	Professional		$1,584.89	$1,949.84	$5,011.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,041.74	Facility		$1,445.44	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,041.74	Professional		$1,621.81	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,949.84	Facility		$467.74	$467.74	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $891.25 / $1,548.82	Professional		$60.26	$891.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $812.83	Facility		$707.95	$707.95	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $5,011.87	Professional		$977.24	$1,513.56	$5,011.87