Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $326.70 / $326.70	Professional		$326.70	$326.70	$326.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $326.70 / $457.38	Facility		$242.00	$326.70	$457.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.80 / $387.20 / $3,495.87	Facility		$338.80	$387.20	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $266.20 / $290.39	Professional		$205.70	$266.20	$290.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $326.70 / $484.00	Facility		$242.00	$326.70	$484.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $275.00 / $290.39	Professional		$205.70	$275.00	$290.39
United Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $330.00 / $660.00	Professional		$330.00	$330.00	$660.00