Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,174.90	Professional		$537.03	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,659.59	Facility		$891.25	$891.25	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,071.52 / $3,388.44	Professional		$223.87	$1,071.52	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,089.30 / $3,981.07	Professional		$380.19	$2,089.30	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,023.29 / $1,659.59	Facility		$83.18	$1,023.29	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $977.24 / $2,818.38	Professional		$173.78	$977.24	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38