Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.75 / $1,219.75 / $1,219.75	Professional		$1,219.75	$1,219.75	$1,219.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $815.65	Professional		$558.53	$765.11	$815.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $323.35 / $323.35	Facility		$323.35	$323.35	$323.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.94 / $1,323.28 / $2,089.40	Professional		$1,118.94	$1,323.28	$2,089.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,031.33 / $1,031.33 / $1,360.28	Facility		$1,031.33	$1,031.33	$1,360.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.33 / $1,360.28 / $2,805.13	Professional		$1,031.33	$1,360.28	$2,805.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $323.35 / $1,031.33	Facility		$323.35	$323.35	$1,031.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $1,106.56 / $1,723.55	Professional		$765.11	$1,106.56	$1,723.55
United Facility/Professional Professional Modifier Low / Median / High Price $673.23 / $694.91 / $1,331.92	Professional		$673.23	$694.91	$1,331.92