Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $487.34 / $487.34	Professional		$487.34	$487.34	$487.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $237.52	Professional		$237.52	$237.52	$237.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.38 / $381.38 / $381.38	Facility		$381.38	$381.38	$381.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $540.46 / $853.35	Professional		$540.46	$540.46	$853.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.15 / $498.15 / $555.57	Facility		$498.15	$498.15	$555.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $555.57 / $1,145.68	Professional		$450.13	$555.57	$1,145.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.38 / $381.38 / $383.92	Facility		$381.38	$381.38	$383.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.52 / $473.03 / $1,145.68	Professional		$398.52	$473.03	$1,145.68
United Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $283.82 / $709.55	Professional		$274.95	$283.82	$709.55