Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,023.29	Professional		$602.56	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $288.40	Professional		$204.17	$275.42	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $707.95 / $1,023.29	Facility		$93.33	$707.95	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $3,235.94	Professional		$707.95	$954.99	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $954.99	Facility		$66.07	$95.50	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $954.99	Professional		$79.43	$177.83	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Facility		$537.03	$537.03	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $275.42 / $524.81	Professional		$60.26	$275.42	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $218.78 / $562.34	Facility		$29.51	$218.78	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $1,737.80	Professional		$478.63	$912.01	$1,737.80