Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.10 / $1,131.50 / $1,922.45	Facility		$681.10	$1,131.50	$1,922.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.27 / $549.27 / $549.27	Professional		$549.27	$549.27	$549.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.92 / $452.92 / $452.92	Facility		$452.92	$452.92	$452.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $785.46 / $785.46 / $785.46	Facility		$785.46	$785.46	$785.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $527.95	Professional		$163.96	$163.96	$527.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.86 / $606.65 / $655.84	Facility		$573.86	$606.65	$655.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $368.91 / $368.91	Professional		$147.56	$368.91	$368.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.92 / $606.65 / $785.46	Facility		$452.92	$606.65	$785.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $450.89 / $450.89	Professional		$163.96	$450.89	$450.89
United Facility/Professional Professional Modifier Low / Median / High Price $202.42 / $404.84 / $494.70	Professional		$202.42	$404.84	$494.70