Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.86 / $662.86 / $662.86	Professional		$662.86	$662.86	$662.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $382.81	Facility		$382.81	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $394.29	Professional		$325.39	$382.81	$394.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.15 / $308.33 / $476.61	Facility		$222.15	$308.33	$476.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $60.40 / $60.40	Professional		$60.40	$60.40	$60.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $524.00 / $1,191.71	Professional		$44.97	$524.00	$1,191.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $325.39 / $471.19	Facility		$222.25	$325.39	$471.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $394.29	Professional		$325.39	$382.81	$394.29
United Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $464.00 / $847.31	Professional		$242.09	$464.00	$847.31