Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.18 / $977.18 / $977.18	Professional		$977.18	$977.18	$977.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $977.18 / $1,368.05	Facility		$723.84	$977.18	$1,368.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.28 / $905.28 / $905.28	Professional		$905.28	$905.28	$905.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,013.38 / $1,158.14 / $3,495.87	Facility		$1,013.38	$1,158.14	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $796.22 / $868.61	Professional		$615.26	$796.22	$868.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $977.18 / $1,447.68	Facility		$723.84	$977.18	$1,447.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $868.61 / $904.80	Professional		$615.26	$868.61	$904.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.76 / $1,085.76 / $2,171.52	Professional		$1,085.76	$1,085.76	$2,171.52