Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.90 / $835.90 / $835.90	Professional		$835.90	$835.90	$835.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $635.95	Professional		$449.41	$449.41	$635.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $835.90 / $1,195.33	Facility		$483.65	$835.90	$1,195.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $1,128.58	Professional		$449.41	$449.41	$1,128.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.19 / $2,208.00 / $3,495.87	Facility		$926.19	$2,208.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,145.40 / $1,518.00 / $1,656.00	Professional		$1,145.40	$1,518.00	$1,656.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $835.90 / $2,760.00	Facility		$449.41	$835.90	$2,760.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $605.51 / $1,656.00	Professional		$449.41	$605.51	$1,656.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.12 / $674.12 / $1,348.23	Professional		$674.12	$674.12	$1,348.23