Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.88 / $521.88 / $521.88	Professional		$521.88	$521.88	$521.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.11 / $237.11 / $746.29	Facility		$237.11	$237.11	$746.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,001.90 / $14,999.85 / $29,999.70	Professional		$10,001.90	$14,999.85	$29,999.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $849.15 / $1,035.45	Professional		$630.00	$849.15	$1,035.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.88 / $714.98 / $746.29	Facility		$521.88	$714.98	$746.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $756.00 / $1,199.52	Professional		$182.29	$756.00	$1,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $303.52 / $655.26	Professional		$217.35	$303.52	$655.26