Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,047.13	Professional		$512.86	$870.96	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $645.65 / $1,230.27	Facility		$169.82	$645.65	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $1,819.70	Professional		$60.26	$776.25	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $10,000.00	Facility		$112.20	$169.82	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $1,698.24	Professional		$169.82	$194.98	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $776.25 / $1,479.11	Facility		$173.78	$776.25	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $776.25	Professional		$60.26	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $2,454.71	Facility		$64.57	$67.61	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $389.05	Professional		$72.44	$81.28	$389.05