Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.70 / $415.70 / $1,038.83	Professional		$415.70	$415.70	$1,038.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.45 / $594.45 / $594.45	Facility		$594.45	$594.45	$594.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $194.93 / $194.93	Professional		$194.93	$194.93	$194.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.25 / $955.80 / $1,310.28	Professional		$751.25	$955.80	$1,310.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.45 / $594.45 / $594.45	Facility		$594.45	$594.45	$594.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $751.25 / $1,373.29	Professional		$194.93	$751.25	$1,373.29
United Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $417.20 / $629.39	Professional		$301.74	$417.20	$629.39