Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $386.55 / $761.65	Professional		$328.24	$386.55	$761.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.52 / $715.93 / $1,389.14	Professional		$361.52	$715.93	$1,389.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.40 / $761.65 / $1,611.41	Facility		$647.40	$761.65	$1,611.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $922.68 / $1,107.21 / $1,996.75	Professional		$922.68	$1,107.21	$1,996.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.52 / $1,127.00 / $1,457.30	Professional		$895.52	$1,127.00	$1,457.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.74 / $761.65 / $1,611.41	Facility		$533.74	$761.65	$1,611.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.01 / $1,022.84 / $1,539.88	Professional		$460.01	$1,022.84	$1,539.88
United Facility/Professional Professional Modifier Low / Median / High Price $387.33 / $1,111.32 / $1,666.98	Professional		$387.33	$1,111.32	$1,666.98