Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.97 / $836.97 / $836.97	Professional		$836.97	$836.97	$836.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.86 / $1,196.86 / $1,196.86	Facility		$1,196.86	$1,196.86	$1,196.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $867.97 / $867.97 / $1,363.96	Facility		$867.97	$867.97	$1,363.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.59 / $1,186.56 / $1,957.82	Facility		$830.59	$1,186.56	$1,957.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $774.98 / $1,042.19	Professional		$516.65	$774.98	$1,042.19