Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.85 / $1,218.85 / $1,218.85	Professional		$1,218.85	$1,218.85	$1,218.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $927.31	Professional		$655.29	$655.29	$927.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,218.85 / $1,742.97	Facility		$730.43	$1,218.85	$1,742.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,998.10	Professional		$655.29	$655.29	$1,998.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.06 / $2,800.00 / $3,850.00	Facility		$1,534.06	$2,800.00	$3,850.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.50 / $1,925.00 / $2,100.00	Professional		$1,452.50	$1,925.00	$2,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $1,218.85 / $3,500.00	Facility		$655.29	$1,218.85	$3,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $1,515.58 / $2,100.00	Professional		$655.29	$1,515.58	$2,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.95 / $982.95 / $1,965.90	Professional		$982.95	$982.95	$1,965.90