Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $630.96	Professional		$398.11	$467.74	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $436.52	Professional		$302.00	$302.00	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $489.78 / $512.86	Facility		$213.80	$489.78	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,737.80	Professional		$512.86	$676.08	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Facility		$512.86	$512.86	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $616.60	Professional		$416.87	$512.86	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $676.08	Facility		$213.80	$213.80	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $407.38 / $630.96	Professional		$60.26	$407.38	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $489.78	Facility		$436.52	$436.52	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,318.26	Professional		$263.03	$263.03	$1,318.26