Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,348.96	Professional		$851.14	$933.25	$1,348.96
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 / $1,288.25 / $1,513.56	Facility		$457.09	$1,288.25	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $5,128.61	Professional		$1,148.15	$1,584.89	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,584.89	Facility		$1,348.96	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,548.82	Professional		$1,230.27	$1,513.56	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,584.89	Facility		$457.09	$457.09	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $891.25 / $1,479.11	Professional		$60.26	$891.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,071.52	Facility		$933.25	$933.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $3,388.44	Professional		$741.31	$776.25	$3,388.44