Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.93 / $661.93 / $661.93	Professional		$661.93	$661.93	$661.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.88 / $661.93 / $926.70	Facility		$355.88	$661.93	$926.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $768.00 / $3,495.87	Facility		$672.00	$768.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $528.00 / $576.00	Professional		$408.00	$528.00	$576.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.88 / $661.93 / $960.00	Facility		$355.88	$661.93	$960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $576.00 / $600.00	Professional		$408.00	$576.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $1,440.00	Professional		$720.00	$720.00	$1,440.00