Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.41 / $531.41 / $531.41	Facility		$531.41	$531.41	$531.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.25 / $585.25 / $1,285.63	Professional		$585.25	$585.25	$1,285.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.92 / $612.92 / $643.16	Professional		$612.92	$612.92	$643.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $836.91 / $836.91 / $836.91	Facility		$836.91	$836.91	$836.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $608.42 / $1,097.25	Professional		$298.77	$608.42	$1,097.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.75 / $851.85 / $1,147.41	Professional		$783.75	$851.85	$1,147.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.91 / $836.91 / $836.91	Facility		$836.91	$836.91	$836.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $788.75 / $1,460.12	Professional		$298.77	$788.75	$1,460.12
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $514.54 / $771.81	Professional		$245.66	$514.54	$771.81