Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.17 / $1,006.52 / $1,572.69	Facility		$557.17	$1,006.52	$1,572.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.65 / $1,006.52 / $1,550.22	Professional		$916.65	$1,006.52	$1,550.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.52 / $370.52 / $370.52	Facility		$370.52	$370.52	$370.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $642.55 / $642.55 / $642.55	Facility		$642.55	$642.55	$642.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $431.90	Professional		$134.13	$134.13	$431.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.46 / $496.28 / $536.52	Facility		$469.46	$496.28	$536.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $301.79 / $301.79	Professional		$120.72	$301.79	$301.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.52 / $496.28 / $642.55	Facility		$370.52	$496.28	$642.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.86 / $368.86 / $368.86	Professional		$368.86	$368.86	$368.86
United Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $268.26 / $404.70	Professional		$134.13	$268.26	$404.70