Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.48 / $984.29 / $1,672.33	Facility		$592.48	$984.29	$1,672.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.81 / $477.81 / $477.81	Professional		$477.81	$477.81	$477.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $394.02 / $394.02	Facility		$394.02	$394.02	$394.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.27 / $683.27 / $683.27	Facility		$683.27	$683.27	$683.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $459.27	Professional		$142.63	$142.63	$459.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.21 / $527.73 / $570.52	Facility		$499.21	$527.73	$570.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $320.92 / $320.92	Professional		$128.37	$320.92	$320.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $527.73 / $683.27	Facility		$394.02	$527.73	$683.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.23 / $392.23 / $392.23	Professional		$392.23	$392.23	$392.23
United Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $285.26 / $430.34	Professional		$142.63	$285.26	$430.34