Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.10 / $1,035.15 / $1,758.75	Facility		$623.10	$1,035.15	$1,758.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.50 / $502.50 / $502.50	Professional		$502.50	$502.50	$502.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.38 / $414.38 / $414.38	Facility		$414.38	$414.38	$414.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.58 / $718.58 / $718.58	Facility		$718.58	$718.58	$718.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $150.00 / $483.00	Professional		$135.00	$150.00	$483.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $555.00 / $600.00	Facility		$525.00	$555.00	$600.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $337.50 / $337.50	Professional		$135.00	$337.50	$337.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.38 / $555.00 / $718.58	Facility		$414.38	$555.00	$718.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $412.50 / $412.50	Professional		$135.00	$412.50	$412.50
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $300.00 / $452.58	Professional		$150.00	$300.00	$452.58