Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,819.70	Facility		$645.65	$1,148.15	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $501.19	Professional		$120.23	$141.25	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $707.95 / $1,071.52	Facility		$199.53	$707.95	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $602.56 / $645.65	Professional		$134.90	$602.56	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $794.33	Facility		$524.81	$741.31	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $501.19 / $707.95	Facility		$120.23	$501.19	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $147.91	Professional		$60.26	$60.26	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $295.12 / $446.68	Professional		$89.13	$295.12	$446.68