Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.71 / $991.71 / $991.71	Professional		$991.71	$991.71	$991.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $758.68 / $808.79	Professional		$553.84	$758.68	$808.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $249.06 / $249.06	Facility		$249.06	$249.06	$249.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.94 / $1,089.47 / $1,720.22	Professional		$324.94	$1,089.47	$1,720.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.33 / $513.33 / $1,116.83	Facility		$513.33	$513.33	$1,116.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.63 / $1,116.83 / $2,431.17	Professional		$804.63	$1,116.83	$2,431.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $249.06 / $758.68	Facility		$249.06	$249.06	$758.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $859.68 / $1,340.21	Professional		$553.84	$859.68	$1,340.21
United Facility/Professional Professional Modifier Low / Median / High Price $583.48 / $922.70 / $1,505.69	Professional		$583.48	$922.70	$1,505.69