Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,737.80	Facility		$616.60	$1,122.02	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $478.63	Professional		$114.82	$134.90	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $676.08	Facility		$141.25	$141.25	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $457.09	Professional		$141.25	$141.25	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $575.44	Facility		$501.19	$524.81	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $398.11 / $676.08	Facility		$114.82	$398.11	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $288.40 / $426.58	Professional		$85.11	$288.40	$426.58