Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.50 / $929.50 / $929.50	Professional		$929.50	$929.50	$929.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $643.37 / $643.37	Professional		$643.37	$643.37	$643.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.58 / $520.86 / $852.24	Facility		$366.58	$520.86	$852.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $715.20 / $1,098.50	Professional		$70.53	$715.20	$1,098.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.58 / $520.86 / $852.24	Facility		$366.58	$520.86	$852.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $104.04 / $643.37	Professional		$87.86	$104.04	$643.37
United Facility/Professional Professional Modifier Low / Median / High Price $434.31 / $832.43 / $1,520.09	Professional		$434.31	$832.43	$1,520.09