Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $1,995.26	Facility		$707.95	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $549.54	Professional		$131.83	$154.88	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $1,174.90	Facility		$162.18	$162.18	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $489.78 / $524.81	Professional		$158.49	$489.78	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $602.56 / $660.69	Facility		$162.18	$602.56	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $457.09 / $794.33	Facility		$131.83	$457.09	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $162.18	Professional		$60.26	$60.26	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $331.13 / $489.78	Professional		$97.72	$331.13	$489.78