Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.41 / $579.41 / $579.41	Professional		$579.41	$579.41	$579.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $450.63	Professional		$319.38	$437.50	$450.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.43 / $453.43 / $453.43	Facility		$453.43	$453.43	$453.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.57 / $642.57 / $1,014.59	Professional		$642.57	$642.57	$1,014.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $592.27 / $660.54	Facility		$592.27	$592.27	$660.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $660.54 / $1,362.15	Professional		$535.17	$660.54	$1,362.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.43 / $453.43 / $456.46	Facility		$453.43	$453.43	$456.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $537.33 / $792.65	Professional		$437.50	$537.33	$792.65
United Facility/Professional Professional Modifier Low / Median / High Price $326.92 / $646.77 / $843.62	Professional		$326.92	$646.77	$843.62