Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.18 / $492.18 / $492.18	Facility		$492.18	$492.18	$492.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.04 / $542.04 / $1,181.56	Professional		$542.04	$542.04	$1,181.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.10 / $524.10 / $591.35	Professional		$524.10	$524.10	$591.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.13 / $775.13 / $775.13	Facility		$775.13	$775.13	$775.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $533.73 / $962.50	Professional		$272.64	$533.73	$962.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.50 / $753.30 / $1,006.50	Professional		$687.50	$753.30	$1,006.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.13 / $775.13 / $775.13	Facility		$775.13	$775.13	$775.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $717.50 / $1,332.16	Professional		$272.64	$717.50	$1,332.16
United Facility/Professional Professional Modifier Low / Median / High Price $259.47 / $473.08 / $709.62	Professional		$259.47	$473.08	$709.62