Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.61 / $364.82 / $464.38	Professional		$273.61	$364.82	$464.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.60 / $523.42 / $732.80	Facility		$428.60	$523.42	$732.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $902.45 / $1,175.81 / $1,914.12	Professional		$902.45	$1,175.81	$1,914.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,561.95 / $1,561.95 / $3,495.87	Facility		$1,561.95	$1,561.95	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.12 / $1,343.10 / $1,939.90	Professional		$645.12	$1,343.10	$1,939.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.60 / $523.42 / $732.80	Facility		$428.60	$523.42	$732.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.40 / $899.40 / $1,628.00	Professional		$449.40	$899.40	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.57 / $1,005.30 / $2,086.00	Professional		$893.57	$1,005.30	$2,086.00