Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,778.28	Professional		$933.25	$1,023.29	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,348.96	Professional		$912.01	$912.01	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,737.80 / $1,949.84	Facility		$501.19	$1,737.80	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $5,128.61	Professional		$1,621.81	$1,949.84	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,041.74	Facility		$1,479.11	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $1,995.26	Professional		$1,584.89	$1,949.84	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,995.26	Facility		$501.19	$501.19	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,258.93 / $1,621.81	Professional		$60.26	$1,258.93	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,148.15	Facility		$1,023.29	$1,023.29	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $3,715.35	Professional		$977.24	$1,000.00	$3,715.35