Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,288.25	Professional		$812.83	$912.01	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Professional		$724.44	$724.44	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,288.25 / $1,412.54	Facility		$457.09	$1,288.25	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $4,677.35	Professional		$1,412.54	$1,479.11	$4,677.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Facility		$1,412.54	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,819.70	Professional		$1,148.15	$1,412.54	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,548.82	Facility		$457.09	$457.09	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $851.14 / $1,445.44	Professional		$60.26	$851.14	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,023.29	Facility		$891.25	$891.25	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $3,235.94	Professional		$707.95	$724.44	$3,235.94