Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.70 / $495.70 / $495.70	Facility		$495.70	$495.70	$495.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.94 / $545.94 / $1,208.25	Professional		$545.94	$545.94	$1,208.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $610.39 / $671.09	Professional		$610.39	$610.39	$671.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $780.69 / $780.69 / $780.69	Facility		$780.69	$780.69	$780.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $449.28 / $566.62	Professional		$276.93	$449.28	$566.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $747.90 / $995.52	Professional		$680.00	$747.90	$995.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $780.69 / $780.69 / $780.69	Facility		$780.69	$780.69	$780.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $728.75 / $1,350.44	Professional		$276.93	$728.75	$1,350.44
United Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $488.32 / $732.48	Professional		$319.95	$488.32	$732.48