Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $912.01	Professional		$741.31	$741.31	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,949.84	Facility		$891.25	$1,380.38	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $537.03	Professional		$194.98	$309.03	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $4,897.79	Facility		$1,230.27	$3,467.37	$4,897.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $2,691.53	Professional		$2,238.72	$2,454.71	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $912.01 / $2,454.71	Facility		$177.83	$912.01	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,202.26	Professional		$125.89	$125.89	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $4,677.35	Professional		$190.55	$446.68	$4,677.35