Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $870.96	Professional		$426.58	$467.74	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $562.34	Professional		$389.05	$389.05	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $870.96 / $954.99	Facility		$223.87	$870.96	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,290.87	Professional		$724.44	$954.99	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $1,000.00	Facility		$660.69	$977.24	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,000.00	Professional		$794.33	$977.24	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $954.99	Facility		$223.87	$223.87	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $524.81 / $707.95	Professional		$60.26	$524.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $524.81	Facility		$467.74	$467.74	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $1,698.24	Professional		$478.63	$489.78	$1,698.24