Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.68 / $1,683.64 / $1,708.16	Professional		$1,478.68	$1,683.64	$1,708.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.92 / $1,478.68 / $1,774.42	Facility		$1,096.92	$1,478.68	$1,774.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.86 / $1,475.86 / $1,958.97	Professional		$1,475.86	$1,475.86	$1,958.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.74 / $1,517.13 / $1,711.68	Professional		$1,110.74	$1,517.13	$1,711.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,104.02 / $1,478.68 / $1,774.42	Facility		$1,104.02	$1,478.68	$1,774.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $1,110.74 / $1,820.56	Professional		$742.34	$1,110.74	$1,820.56
United Facility/Professional Professional Modifier Low / Median / High Price $713.37 / $775.04 / $3,732.26	Professional		$713.37	$775.04	$3,732.26