Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $1,412.54	Professional		$204.17	$213.80	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Professional		$204.17	$204.17	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $537.03	Facility		$204.17	$245.47	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,041.74 / $3,467.37	Facility		$354.81	$2,041.74	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,513.56	Professional		$1,258.93	$1,380.38	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $1,380.38	Facility		$177.83	$323.59	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $125.89	Professional		$60.26	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $2,691.53	Professional		$190.55	$446.68	$2,691.53