Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.47 / $441.47 / $441.47	Professional		$441.47	$441.47	$441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.32 / $674.32 / $674.32	Professional		$674.32	$674.32	$674.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.47 / $618.05 / $631.29	Facility		$441.47	$618.05	$631.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $202.49 / $289.27	Professional		$202.49	$202.49	$289.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $874.80 / $1,175.56	Professional		$800.00	$874.80	$1,175.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.47 / $618.05 / $631.29	Facility		$441.47	$618.05	$631.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $916.50 / $1,175.56	Professional		$289.27	$916.50	$1,175.56
United Facility/Professional Professional Modifier Low / Median / High Price $539.46 / $542.10 / $1,164.61	Professional		$539.46	$542.10	$1,164.61