Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $768.84 / $768.84	Professional		$768.84	$768.84	$768.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $825.00 / $825.00	Professional		$784.00	$825.00	$825.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $226.10 / $1,099.44	Facility		$226.10	$226.10	$1,099.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $810.00 / $1,198.00	Professional		$748.75	$810.00	$1,198.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.84 / $1,053.31 / $1,099.44	Facility		$768.84	$1,053.31	$1,099.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.80 / $898.50 / $1,198.00	Professional		$718.80	$898.50	$1,198.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.54 / $611.19 / $973.83	Professional		$270.54	$611.19	$973.83