Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $616.60	Professional		$363.08	$407.38	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $489.78	Professional		$338.84	$338.84	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $616.60 / $676.08	Facility		$194.98	$616.60	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,862.09	Professional		$588.84	$676.08	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $691.83 / $724.44	Facility		$537.03	$691.83	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $707.95	Professional		$562.34	$691.83	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $741.31	Facility		$194.98	$194.98	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $446.68 / $575.44	Professional		$60.26	$446.68	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $457.09	Facility		$398.11	$398.11	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $1,479.11	Professional		$338.84	$354.81	$1,479.11