Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.11 / $1,327.11 / $1,327.11	Professional		$1,327.11	$1,327.11	$1,327.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,009.67	Professional		$713.50	$713.50	$1,009.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $1,327.11 / $1,857.95	Facility		$941.46	$1,327.11	$1,857.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $927.55	Professional		$713.50	$713.50	$927.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.18 / $2,544.00 / $3,498.00	Facility		$1,933.18	$2,544.00	$3,498.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.23 / $1,749.00 / $1,908.00	Professional		$1,353.23	$1,749.00	$1,908.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $1,327.11 / $2,280.00	Facility		$713.50	$1,327.11	$2,280.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $1,368.00 / $1,612.63	Professional		$713.50	$1,368.00	$1,612.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.25 / $1,070.25 / $2,140.50	Professional		$1,070.25	$1,070.25	$2,140.50