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 $79.45 / $750.60 / $750.60	Professional		$79.45	$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 / $759.90 / $1,929.00	Professional		$75.98	$759.90	$1,929.00
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 $79.45 / $145.59 / $750.60	Professional		$79.45	$145.59	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $82.06 / $310.19	Professional		$81.62	$82.06	$310.19