Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.39 / $654.39 / $654.39	Professional		$654.39	$654.39	$654.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $429.00 / $441.87	Professional		$364.65	$429.00	$441.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $411.25 / $622.95	Facility		$285.89	$411.25	$622.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $59.38 / $59.38	Professional		$59.38	$59.38	$59.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $437.84 / $1,258.75	Professional		$61.03	$437.84	$1,258.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $413.48 / $622.95	Facility		$285.89	$413.48	$622.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $429.00 / $441.87	Professional		$364.65	$429.00	$441.87
United Facility/Professional Professional Modifier Low / Median / High Price $304.31 / $583.26 / $1,228.46	Professional		$304.31	$583.26	$1,228.46