Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.83 / $922.83 / $922.83	Professional		$922.83	$922.83	$922.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $656.98	Professional		$449.88	$616.27	$656.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $722.35 / $722.35 / $722.35	Facility		$722.35	$722.35	$722.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.42 / $1,023.42 / $1,615.92	Professional		$1,023.42	$1,023.42	$1,615.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.30 / $943.30 / $1,052.03	Facility		$943.30	$943.30	$1,052.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.38 / $1,052.03 / $2,169.48	Professional		$852.38	$1,052.03	$2,169.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.35 / $722.35 / $727.00	Facility		$722.35	$722.35	$727.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.27 / $855.80 / $1,262.44	Professional		$616.27	$855.80	$1,262.44
United Facility/Professional Professional Modifier Low / Median / High Price $520.66 / $1,030.09 / $1,343.61	Professional		$520.66	$1,030.09	$1,343.61