Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,318.26	Professional		$812.83	$1,071.52	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,479.11	Professional		$1,047.13	$1,047.13	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $2,137.96	Facility		$1,047.13	$1,148.15	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,584.89 / $3,467.37	Facility		$478.63	$1,584.89	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,202.26	Professional		$1,000.00	$1,096.48	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,096.48 / $2,137.96	Facility		$177.83	$1,096.48	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $125.89	Professional		$60.26	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $2,511.89	Professional		$190.55	$446.68	$2,511.89