Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $649.16 / $649.16	Professional		$649.16	$649.16	$649.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Facility		$349.01	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $493.89	Professional		$349.01	$349.01	$493.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $649.16 / $908.84	Facility		$356.55	$649.16	$908.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $523.53	Professional		$349.02	$349.02	$523.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $1,296.00 / $3,495.87	Facility		$1,134.00	$1,296.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.50 / $891.00 / $972.00	Professional		$688.50	$891.00	$972.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $649.16 / $1,620.00	Facility		$349.02	$649.16	$1,620.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $429.39 / $972.00	Professional		$349.01	$429.39	$972.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.53 / $523.53 / $1,047.06	Professional		$523.53	$523.53	$1,047.06