Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $1,023.29	Professional		$549.54	$562.34	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $794.33	Professional		$549.54	$549.54	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,479.11	Facility		$660.69	$1,023.29	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $645.65	Professional		$194.98	$338.84	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $5,888.44	Facility		$3,467.37	$4,265.80	$5,888.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,235.94	Professional		$2,691.53	$2,951.21	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $2,951.21	Facility		$177.83	$691.83	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,949.84	Professional		$125.89	$125.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $6,760.83	Professional		$190.55	$446.68	$6,760.83