Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.87 / $892.87 / $892.87	Professional		$892.87	$892.87	$892.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $766.82 / $766.82	Professional		$766.82	$766.82	$766.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.01 / $584.33 / $910.98	Facility		$337.01	$584.33	$910.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $81.02 / $88.83	Professional		$81.02	$81.02	$88.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $687.00 / $1,717.50	Professional		$83.28	$687.00	$1,717.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.01 / $584.33 / $910.98	Facility		$337.01	$584.33	$910.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $766.82 / $766.82	Professional		$766.82	$766.82	$766.82
United Facility/Professional Professional Modifier Low / Median / High Price $517.58 / $992.04 / $1,811.54	Professional		$517.58	$992.04	$1,811.54