Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,047.13 / $1,047.13	Professional		$389.05	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $323.59	Professional		$263.03	$309.03	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $363.08 / $977.24	Facility		$97.72	$363.08	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $977.24 / $3,311.31	Professional		$426.58	$977.24	$3,311.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $977.24	Facility		$45.71	$97.72	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $977.24	Professional		$70.79	$104.71	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $436.52	Facility		$229.09	$295.12	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $309.03 / $831.76	Professional		$60.26	$309.03	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $169.82 / $309.03	Facility		$22.91	$169.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $1,737.80	Professional		$501.19	$954.99	$1,737.80