Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $575.44	Professional		$380.19	$478.63	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $426.58	Professional		$288.40	$288.40	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $575.44	Facility		$204.17	$524.81	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $1,949.84	Professional		$575.44	$616.60	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $588.84 / $616.60	Facility		$562.34	$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 $204.17 / $204.17 / $676.08	Facility		$204.17	$204.17	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $398.11 / $602.56	Professional		$60.26	$398.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $478.63	Facility		$416.87	$416.87	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,513.56	Professional		$302.00	$302.00	$1,513.56