Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.03 / $565.03 / $565.03	Facility		$565.03	$565.03	$565.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.27 / $622.27 / $1,329.77	Professional		$622.27	$622.27	$1,329.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.00 / $577.00 / $668.39	Professional		$577.00	$577.00	$668.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.85 / $889.85 / $889.85	Facility		$889.85	$889.85	$889.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $608.42 / $1,097.25	Professional		$307.33	$608.42	$1,097.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.75 / $858.60 / $1,147.41	Professional		$783.75	$858.60	$1,147.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.85 / $889.85 / $889.85	Facility		$889.85	$889.85	$889.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $808.75 / $1,492.11	Professional		$307.33	$808.75	$1,492.11
United Facility/Professional Professional Modifier Low / Median / High Price $256.81 / $534.72 / $802.08	Professional		$256.81	$534.72	$802.08