Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.38 / $864.38 / $864.38	Professional		$864.38	$864.38	$864.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $459.79	Facility		$459.79	$459.79	$459.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $473.58	Professional		$390.82	$459.79	$473.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.08 / $408.77 / $588.19	Facility		$307.08	$408.77	$588.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $91.87 / $96.70	Professional		$78.76	$91.87	$96.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $80.76 / $1,385.50	Professional		$68.34	$80.76	$1,385.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.08 / $421.09 / $581.51	Facility		$307.08	$421.09	$581.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $473.58	Professional		$390.82	$459.79	$473.58
United Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $630.12 / $1,274.84	Professional		$328.76	$630.12	$1,274.84