Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $1,202.26	Professional		$467.74	$537.03	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $562.34	Professional		$467.74	$549.54	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $501.19 / $812.83	Facility		$112.20	$501.19	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $660.69 / $1,202.26	Professional		$60.26	$660.69	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $1,122.02	Facility		$81.28	$112.20	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $1,122.02	Professional		$112.20	$162.18	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $562.34 / $891.25	Facility		$501.19	$562.34	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $1,071.52	Professional		$60.26	$549.54	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $346.74 / $776.25	Facility		$44.67	$346.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $2,137.96	Professional		$549.54	$1,047.13	$2,137.96