Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.59 / $764.32 / $802.53	Professional		$615.59	$764.32	$802.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $636.97	Facility		$636.97	$636.97	$636.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $679.05	Professional		$464.99	$636.97	$679.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.96 / $425.96 / $425.96	Facility		$425.96	$425.96	$425.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.73 / $840.82 / $1,327.61	Professional		$555.73	$840.82	$1,327.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.94 / $656.94 / $862.30	Facility		$656.94	$656.94	$862.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.94 / $862.30 / $2,124.94	Professional		$656.94	$862.30	$2,124.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.96 / $425.96 / $636.97	Facility		$425.96	$425.96	$636.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.97 / $782.58 / $1,104.01	Professional		$636.97	$782.58	$1,104.01
United Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $1,008.96 / $2,632.08	Professional		$526.41	$1,008.96	$2,632.08