Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.63 / $1,211.63 / $1,211.63	Professional		$1,211.63	$1,211.63	$1,211.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.55 / $1,211.63 / $1,696.28	Facility		$919.55	$1,211.63	$1,696.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $699.58 / $999.40 / $2,496.88	Professional		$699.58	$999.40	$2,496.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,099.54 / $1,436.00 / $1,974.50	Facility		$1,099.54	$1,436.00	$1,974.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $987.25 / $1,077.00	Professional		$762.88	$987.25	$1,077.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.55 / $1,211.63 / $1,795.00	Facility		$919.55	$1,211.63	$1,795.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $1,077.00 / $1,375.00	Professional		$762.88	$1,077.00	$1,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,796.50 / $2,996.25 / $5,992.50	Professional		$2,796.50	$2,996.25	$5,992.50