Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.06 / $1,702.06 / $1,702.06	Professional		$1,702.06	$1,702.06	$1,702.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Facility		$915.09	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,294.93	Professional		$915.09	$915.09	$1,294.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $1,702.06 / $2,382.88	Facility		$652.66	$1,702.06	$2,382.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,189.61	Professional		$915.09	$915.09	$1,189.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.18 / $2,668.80 / $3,669.60	Facility		$736.18	$2,668.80	$3,669.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.44 / $1,834.80 / $2,001.60	Professional		$1,384.44	$1,834.80	$2,001.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $1,702.06 / $2,382.88	Facility		$915.09	$1,702.06	$2,382.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.27 / $950.00 / $1,140.00	Professional		$674.27	$950.00	$1,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,372.64 / $1,372.64 / $2,745.27	Professional		$1,372.64	$1,372.64	$2,745.27