Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,949.84	Professional		$870.96	$1,023.29	$1,949.84
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 / $933.25	Professional		$660.69	$660.69	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,905.46 / $2,187.76	Facility		$467.74	$1,905.46	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $5,128.61	Professional		$1,621.81	$2,187.76	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,290.87	Facility		$1,479.11	$2,187.76	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,238.72	Professional		$1,778.28	$2,187.76	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,995.26	Facility		$467.74	$467.74	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $912.01 / $1,621.81	Professional		$60.26	$912.01	$1,621.81
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 $1,071.52 / $1,122.02 / $3,548.13	Professional		$1,071.52	$1,122.02	$3,548.13