Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $692.43	Professional		$461.62	$461.62	$692.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $990.17 / $990.17 / $990.17	Facility		$990.17	$990.17	$990.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $287.95 / $411.35	Professional		$287.95	$287.95	$411.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.31 / $760.31 / $1,194.78	Facility		$760.31	$760.31	$1,194.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.31 / $990.17 / $1,792.16	Facility		$760.31	$990.17	$1,792.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $411.35 / $506.88	Professional		$287.95	$411.35	$506.88
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $543.08	Professional		$452.57	$452.57	$543.08