Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $524.81	Professional		$263.03	$323.59	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Professional		$199.53	$199.53	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $501.19 / $588.84	Facility		$141.25	$501.19	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,548.82	Professional		$489.78	$588.84	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $616.60	Facility		$446.68	$588.84	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $602.56	Professional		$478.63	$588.84	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $588.84	Facility		$141.25	$141.25	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $269.15 / $478.63	Professional		$60.26	$269.15	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $323.59	Facility		$288.40	$288.40	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $1,047.13	Professional		$295.12	$302.00	$1,047.13