Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.34 / $1,365.34 / $1,365.34	Professional		$1,365.34	$1,365.34	$1,365.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $918.46	Professional		$650.95	$891.71	$918.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $482.60 / $482.60	Facility		$482.60	$482.60	$482.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,481.23 / $1,481.23 / $2,338.79	Professional		$1,481.23	$1,481.23	$2,338.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.28 / $1,365.28 / $1,522.65	Facility		$1,365.28	$1,365.28	$1,522.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.68 / $1,522.65 / $3,139.98	Professional		$1,233.68	$1,522.65	$3,139.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $482.60 / $1,013.24	Facility		$482.60	$482.60	$1,013.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.71 / $1,296.44 / $1,929.28	Professional		$891.71	$1,296.44	$1,929.28
United Facility/Professional Professional Modifier Low / Median / High Price $753.59 / $777.86 / $1,490.91	Professional		$753.59	$777.86	$1,490.91