Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $602.56	Professional		$489.78	$489.78	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $1,071.52	Facility		$489.78	$588.84	$1,071.52
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 $741.31 / $1,584.89 / $3,467.37	Facility		$741.31	$1,584.89	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,174.90	Professional		$977.24	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $602.56 / $1,071.52	Facility		$177.83	$602.56	$1,071.52
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 / $2,511.89	Professional		$190.55	$446.68	$2,511.89