Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $1,809.28 / $1,809.28	Professional		$753.66	$1,809.28	$1,809.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $825.68 / $1,248.28	Facility		$492.35	$825.68	$1,248.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $164.65 / $164.65	Professional		$164.65	$164.65	$164.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $192.90 / $759.90	Professional		$75.98	$192.90	$759.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $825.68 / $1,248.28	Facility		$492.35	$825.68	$1,248.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $202.75 / $750.60	Professional		$107.28	$202.75	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $81.62 / $204.05	Professional		$72.94	$81.62	$204.05