Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $912.01	Professional		$562.34	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Professional		$426.58	$426.58	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $891.25	Facility		$302.00	$812.83	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $3,019.95	Professional		$891.25	$1,047.13	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Facility		$891.25	$891.25	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $933.25	Professional		$724.44	$891.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $954.99	Facility		$302.00	$302.00	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $588.84 / $1,023.29	Professional		$60.26	$588.84	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $707.95	Facility		$616.60	$616.60	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $2,238.72	Professional		$457.09	$457.09	$2,238.72