Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.39 / $1,220.39 / $1,220.39	Professional		$1,220.39	$1,220.39	$1,220.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Facility		$656.12	$656.12	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $928.48	Professional		$656.12	$656.12	$928.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,220.39 / $1,745.16	Facility		$1,090.07	$1,220.39	$1,745.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $1,075.64	Professional		$656.12	$656.12	$1,075.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,335.19 / $2,668.80 / $3,669.60	Facility		$2,335.19	$2,668.80	$3,669.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,417.80 / $1,834.80 / $2,001.60	Professional		$1,417.80	$1,834.80	$2,001.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $1,220.39 / $1,900.00	Facility		$656.12	$1,220.39	$1,900.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.99 / $711.83 / $2,084.96	Professional		$305.99	$711.83	$2,084.96
United Facility/Professional Professional Modifier Low / Median / High Price $984.18 / $984.18 / $1,968.36	Professional		$984.18	$984.18	$1,968.36