Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.16 / $674.16 / $674.16	Professional		$674.16	$674.16	$674.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $674.16 / $943.82	Facility		$499.38	$674.16	$943.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $624.28 / $624.28	Professional		$624.28	$624.28	$624.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.13 / $799.01 / $3,495.87	Facility		$699.13	$799.01	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $549.32 / $599.26	Professional		$424.47	$549.32	$599.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $674.16 / $998.76	Facility		$499.38	$674.16	$998.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $599.26 / $624.23	Professional		$424.47	$599.26	$624.23
United Facility/Professional Professional Modifier Low / Median / High Price $749.13 / $749.13 / $1,498.26	Professional		$749.13	$749.13	$1,498.26