Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.33 / $1,174.33 / $1,174.33	Professional		$1,174.33	$1,174.33	$1,174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,679.31 / $1,679.31 / $1,679.31	Facility		$1,679.31	$1,679.31	$1,679.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,107.11 / $1,107.11 / $1,739.76	Facility		$1,107.11	$1,107.11	$1,739.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.11 / $1,581.60 / $2,609.64	Facility		$1,107.11	$1,581.60	$2,609.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $85.80 / $429.00	Professional		$85.80	$85.80	$429.00