Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $776.25	Professional		$489.78	$602.56	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $1,698.24	Facility		$537.03	$741.31	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,071.52	Professional		$467.74	$575.44	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $2,818.38	Professional		$1,071.52	$2,511.89	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $1,659.59	Facility		$562.34	$707.95	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,698.24	Professional		$79.43	$831.76	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,511.89	Professional		$870.96	$1,148.15	$2,511.89