Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.80 / $1,380.20 / $2,345.00	Facility		$830.80	$1,380.20	$2,345.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.50 / $552.50 / $552.50	Facility		$552.50	$552.50	$552.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $958.10 / $958.10 / $958.10	Facility		$958.10	$958.10	$958.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $644.00	Professional		$200.00	$200.00	$644.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $740.00 / $800.00	Facility		$700.00	$740.00	$800.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $450.00 / $450.00	Professional		$180.00	$450.00	$450.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.50 / $740.00 / $958.10	Facility		$552.50	$740.00	$958.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Professional		$550.00	$550.00	$550.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $400.00 / $603.44	Professional		$200.00	$400.00	$603.44