Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $831.76	Professional		$660.69	$676.08	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $933.25	Professional		$660.69	$660.69	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $1,348.96	Facility		$660.69	$794.33	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $537.03	Professional		$194.98	$309.03	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $3,467.37	Facility		$1,412.54	$1,584.89	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,202.26	Professional		$1,000.00	$1,096.48	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $831.76 / $1,348.96	Facility		$177.83	$831.76	$1,348.96
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