Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.12 / $858.12 / $858.12	Professional		$858.12	$858.12	$858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $652.86	Professional		$461.36	$461.36	$652.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $858.12 / $1,227.10	Facility		$330.31	$858.12	$1,227.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $599.77	Professional		$461.36	$461.36	$599.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $786.45 / $2,668.80 / $3,669.60	Facility		$786.45	$2,668.80	$3,669.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.44 / $1,834.80 / $2,001.60	Professional		$1,384.44	$1,834.80	$2,001.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $858.12 / $1,900.00	Facility		$461.36	$858.12	$1,900.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $1,123.74 / $1,170.55	Professional		$461.36	$1,123.74	$1,170.55
United Facility/Professional Professional Modifier Low / Median / High Price $692.04 / $692.04 / $1,384.08	Professional		$692.04	$692.04	$1,384.08