Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $478.63	Professional		$380.19	$407.38	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $912.01	Facility		$416.87	$645.65	$912.01
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 $676.08 / $776.25 / $3,467.37	Facility		$676.08	$776.25	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $575.44	Professional		$478.63	$524.81	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $478.63 / $724.44	Facility		$177.83	$478.63	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $1,230.27	Professional		$190.55	$407.38	$1,230.27