Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $2,137.96	Facility		$758.58	$1,348.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $588.84	Professional		$141.25	$162.18	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $1,258.93	Facility		$173.78	$173.78	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $562.34	Professional		$158.49	$173.78	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $645.65 / $691.83	Facility		$173.78	$645.65	$691.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $478.63 / $831.76	Facility		$141.25	$478.63	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $158.49	Professional		$60.26	$60.26	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $346.74 / $524.81	Professional		$104.71	$346.74	$524.81