Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,698.24	Professional		$354.81	$562.34	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Professional		$891.25	$891.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $1,445.44	Facility		$398.11	$758.58	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,905.46	Professional		$380.19	$630.96	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $2,570.40	Professional		$1,445.44	$1,584.89	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,174.90	Facility		$380.19	$660.69	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,202.26	Professional		$588.84	$891.25	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $3,162.28	Professional		$741.31	$1,258.93	$3,162.28