Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $912.01	Professional		$537.03	$794.33	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $891.25 / $1,202.26	Facility		$58.88	$891.25	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,258.93 / $4,073.80	Professional		$549.54	$1,258.93	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $1,202.26	Professional		$117.49	$120.23	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,023.29	Facility		$707.95	$891.25	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $295.12 / $549.54	Professional		$60.26	$295.12	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,019.95	Professional		$1,445.44	$1,995.26	$3,019.95