Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.86 / $338.86 / $338.86	Professional		$338.86	$338.86	$338.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $257.80	Professional		$182.18	$182.18	$257.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $338.86 / $484.57	Facility		$182.18	$338.86	$484.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $295.12	Professional		$182.18	$182.18	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.99 / $800.00 / $3,495.87	Facility		$274.99	$800.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $550.00 / $600.00	Professional		$415.00	$550.00	$600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $338.86 / $1,000.00	Facility		$182.18	$338.86	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $225.05 / $600.00	Professional		$182.18	$225.05	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $273.27 / $546.54	Professional		$273.27	$273.27	$546.54