Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $645.65	Professional		$346.74	$398.11	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $575.44 / $630.96	Facility		$186.21	$575.44	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,995.26	Professional		$630.96	$630.96	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $645.65 / $676.08	Facility		$575.44	$645.65	$676.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $660.69	Professional		$524.81	$645.65	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $676.08	Facility		$186.21	$186.21	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $489.78 / $630.96	Professional		$60.26	$489.78	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Facility		$380.19	$380.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $1,380.38	Professional		$316.23	$331.13	$1,380.38