Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,731.56 / $1,731.56 / $1,731.56	Professional		$1,731.56	$1,731.56	$1,731.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $517.14	Professional		$517.14	$517.14	$517.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $347.00 / $347.00	Facility		$347.00	$347.00	$347.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.74 / $1,728.26 / $2,728.83	Professional		$1,226.74	$1,728.26	$2,728.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.71 / $1,130.71 / $1,776.58	Facility		$1,130.71	$1,130.71	$1,776.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.38 / $1,776.58 / $3,663.60	Professional		$1,274.38	$1,776.58	$3,663.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $347.00 / $1,130.71	Facility		$347.00	$347.00	$1,130.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,077.25 / $1,512.64 / $3,663.60	Professional		$1,077.25	$1,512.64	$3,663.60
United Facility/Professional Professional Modifier Low / Median / High Price $907.58 / $1,739.54 / $3,176.54	Professional		$907.58	$1,739.54	$3,176.54