Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,621.81	Professional		$870.96	$1,000.00	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Professional		$660.69	$660.69	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,380.38 / $1,548.82	Facility		$467.74	$1,380.38	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $4,466.84	Professional		$1,412.54	$1,548.82	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,621.81	Facility		$1,288.25	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,584.89	Professional		$1,258.93	$1,548.82	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,659.59	Facility		$467.74	$467.74	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $912.01 / $1,380.38	Professional		$60.26	$912.01	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,096.48	Facility		$954.99	$954.99	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $3,548.13	Professional		$776.25	$794.33	$3,548.13