Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.41 / $480.45 / $881.08	Professional		$373.41	$480.45	$881.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.16 / $929.16 / $929.16	Professional		$929.16	$929.16	$929.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.70 / $881.08 / $1,348.05	Facility		$447.70	$881.08	$1,348.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $538.55 / $851.14	Professional		$538.55	$538.55	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.00 / $1,450.26 / $2,291.52	Professional		$626.00	$1,450.26	$2,291.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.70 / $881.08 / $1,348.05	Facility		$447.70	$881.08	$1,348.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.98 / $989.08 / $2,129.35	Professional		$508.98	$989.08	$2,129.35
United Facility/Professional Professional Modifier Low / Median / High Price $863.90 / $1,156.49 / $1,727.80	Professional		$863.90	$1,156.49	$1,727.80