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 / $2,041.74	Professional		$977.24	$1,071.52	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,096.48	Professional		$758.58	$758.58	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,290.87	Facility		$1,202.26	$1,698.24	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,495.41	Professional		$1,737.80	$2,290.87	$5,495.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,398.83	Facility		$1,584.89	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,344.23	Professional		$1,862.09	$2,290.87	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,238.72	Facility		$1,202.26	$1,202.26	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,047.13 / $1,698.24	Professional		$60.26	$1,047.13	$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 $1,148.15 / $1,778.28 / $5,888.44	Professional		$1,148.15	$1,778.28	$5,888.44