Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.41 / $510.41 / $510.41	Facility		$510.41	$510.41	$510.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.12 / $562.12 / $1,157.93	Professional		$562.12	$562.12	$1,157.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.83 / $458.83 / $578.46	Professional		$458.83	$458.83	$578.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.83 / $803.83 / $803.83	Facility		$803.83	$803.83	$803.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.55 / $498.78 / $899.50	Professional		$255.55	$498.78	$899.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $745.30 / $940.62	Professional		$642.50	$745.30	$940.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.83 / $803.83 / $803.83	Facility		$803.83	$803.83	$803.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.55 / $707.50 / $1,249.90	Professional		$255.55	$707.50	$1,249.90
United Facility/Professional Professional Modifier Low / Median / High Price $202.69 / $451.36 / $694.17	Professional		$202.69	$451.36	$694.17