Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.94 / $905.78 / $3,202.25	Facility		$445.94	$905.78	$3,202.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $527.54 / $1,010.30	Professional		$474.83	$527.54	$1,010.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.98 / $1,262.98 / $1,262.98	Facility		$1,262.98	$1,262.98	$1,262.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $1,528.98	Professional		$474.84	$474.84	$1,528.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.48 / $1,448.22 / $2,275.77	Facility		$726.48	$1,448.22	$2,275.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.10 / $1,448.22 / $3,413.65	Facility		$692.10	$1,448.22	$3,413.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $515.15	Professional		$474.84	$474.84	$515.15
United Facility/Professional Professional Modifier Low / Median / High Price $528.60 / $712.26 / $1,424.52	Professional		$528.60	$712.26	$1,424.52