Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $1,230.27	Professional		$758.58	$776.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,778.28	Facility		$1,230.27	$1,230.27	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,230.27	Professional		$724.44	$758.58	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,288.25 / $1,995.26	Facility		$363.08	$1,288.25	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,778.28	Facility		$1,230.27	$1,230.27	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,137.96	Professional		$758.58	$1,148.15	$2,137.96