Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,949.84	Professional		$537.03	$1,047.13	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $724.44 / $1,548.82	Facility		$213.80	$724.44	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $758.58 / $2,290.87	Professional		$60.26	$758.58	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $2,137.96	Facility		$154.88	$213.80	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $2,137.96	Professional		$204.17	$436.52	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $933.25 / $1,949.84	Facility		$204.17	$933.25	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $169.82	Professional		$60.26	$93.33	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $117.49 / $1,174.90	Facility		$58.88	$117.49	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $380.19	Professional		$100.00	$109.65	$380.19