Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,284.48 / $2,284.48 / $2,284.48	Professional		$2,284.48	$2,284.48	$2,284.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $102.81	Professional		$84.85	$99.82	$102.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.89 / $937.65 / $1,563.10	Facility		$520.89	$937.65	$1,563.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $207.28 / $207.28	Professional		$207.28	$207.28	$207.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $269.98 / $1,814.30	Professional		$175.77	$269.98	$1,814.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $483.26 / $932.87 / $1,563.10	Facility		$483.26	$932.87	$1,563.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $168.03	Professional		$84.85	$99.82	$168.03
United Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $208.64 / $381.00	Professional		$108.86	$208.64	$381.00