Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $954.99	Professional		$524.81	$524.81	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $588.84	Professional		$416.87	$416.87	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $851.14 / $1,096.48	Facility		$281.84	$851.14	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,691.53	Professional		$851.14	$1,096.48	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,148.15	Facility		$758.58	$1,096.48	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,122.02	Professional		$891.25	$1,096.48	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,122.02	Facility		$281.84	$281.84	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $562.34 / $831.76	Professional		$60.26	$562.34	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $575.44	Facility		$436.52	$436.52	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $2,818.38	Professional		$549.54	$851.14	$2,818.38