Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.85 / $462.85 / $462.85	Facility		$462.85	$462.85	$462.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.76 / $509.76 / $1,281.98	Professional		$509.76	$509.76	$1,281.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.75 / $579.75 / $648.36	Professional		$579.75	$579.75	$648.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.96 / $728.96 / $728.96	Facility		$728.96	$728.96	$728.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $491.01 / $885.50	Professional		$297.83	$491.01	$885.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.50 / $692.55 / $925.98	Professional		$632.50	$692.55	$925.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.96 / $728.96 / $728.96	Facility		$728.96	$728.96	$728.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $783.75 / $1,448.69	Professional		$297.83	$783.75	$1,448.69
United Facility/Professional Professional Modifier Low / Median / High Price $281.22 / $518.67 / $778.02	Professional		$281.22	$518.67	$778.02