Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $741.31	Professional		$588.84	$630.96	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,412.54	Facility		$630.96	$1,000.00	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $2,398.83	Professional		$588.84	$954.99	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $12,302.69 / $20,417.38	Facility		$1,174.90	$12,302.69	$20,417.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $891.25	Professional		$741.31	$812.83	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $1,380.38	Facility		$630.96	$812.83	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,174.90	Professional		$660.69	$660.69	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,949.84	Professional		$645.65	$954.99	$1,949.84