Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.79 / $646.79 / $646.79	Facility		$646.79	$646.79	$646.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.33 / $712.33 / $1,507.79	Professional		$712.33	$712.33	$1,507.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.95 / $684.95 / $762.56	Professional		$684.95	$684.95	$762.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.63 / $1,018.63 / $1,018.63	Facility		$1,018.63	$1,018.63	$1,018.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.03 / $692.85 / $1,249.50	Professional		$351.03	$692.85	$1,249.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $981.45 / $1,306.61	Professional		$892.50	$981.45	$1,306.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,018.63 / $1,018.63 / $1,018.63	Facility		$1,018.63	$1,018.63	$1,018.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.03 / $923.75 / $1,716.04	Professional		$351.03	$923.75	$1,716.04
United Facility/Professional Professional Modifier Low / Median / High Price $304.04 / $610.04 / $915.06	Professional		$304.04	$610.04	$915.06