Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.41 / $520.36 / $1,127.67	Professional		$496.41	$520.36	$1,127.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.35 / $695.37 / $1,670.25	Professional		$466.35	$695.37	$1,670.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.57 / $1,127.67 / $1,833.84	Facility		$474.57	$1,127.67	$1,833.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,548.79 / $3,568.13	Professional		$1,202.48	$1,548.79	$3,568.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.95 / $1,999.35 / $2,690.10	Professional		$1,027.95	$1,999.35	$2,690.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.57 / $1,127.67 / $1,833.84	Facility		$474.57	$1,127.67	$1,833.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.28 / $1,327.08 / $2,562.00	Professional		$580.28	$1,327.08	$2,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.48 / $1,264.72 / $3,507.20	Professional		$498.48	$1,264.72	$3,507.20