Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.64 / $676.64 / $676.64	Facility		$676.64	$676.64	$676.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.20 / $745.20 / $1,675.12	Professional		$745.20	$745.20	$1,675.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $748.07 / $840.82	Professional		$748.07	$748.07	$840.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.64 / $1,065.64 / $1,065.64	Facility		$1,065.64	$1,065.64	$1,065.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $721.98 / $1,302.00	Professional		$385.70	$721.98	$1,302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,023.30 / $1,361.52	Professional		$930.00	$1,023.30	$1,361.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.64 / $1,065.64 / $1,065.64	Facility		$1,065.64	$1,065.64	$1,065.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $1,015.00 / $1,887.41	Professional		$385.70	$1,015.00	$1,887.41
United Facility/Professional Professional Modifier Low / Median / High Price $375.67 / $672.66 / $1,008.99	Professional		$375.67	$672.66	$1,008.99