Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.71 / $601.71 / $601.71	Facility		$601.71	$601.71	$601.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.68 / $662.68 / $1,419.51	Professional		$662.68	$662.68	$1,419.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.62 / $666.62 / $712.11	Professional		$666.62	$666.62	$712.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.63 / $947.63 / $947.63	Facility		$947.63	$947.63	$947.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $648.21 / $1,169.00	Professional		$330.13	$648.21	$1,169.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $916.65 / $1,222.44	Professional		$835.00	$916.65	$1,222.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.63 / $947.63 / $947.63	Facility		$947.63	$947.63	$947.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $868.75 / $1,615.50	Professional		$330.13	$868.75	$1,615.50
United Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $585.58 / $854.52	Professional		$322.08	$585.58	$854.52