Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.14 / $1,176.25 / $1,837.89	Facility		$651.14	$1,176.25	$1,837.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.22 / $1,176.25 / $1,811.63	Professional		$1,071.22	$1,176.25	$1,811.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.03 / $433.03 / $433.03	Facility		$433.03	$433.03	$433.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.91 / $750.91 / $750.91	Facility		$750.91	$750.91	$750.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $504.74	Professional		$156.75	$156.75	$504.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.98 / $579.98 / $627.00	Facility		$579.98	$579.98	$627.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $352.69 / $352.69	Professional		$141.08	$352.69	$352.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.03 / $603.49 / $750.91	Facility		$433.03	$603.49	$750.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $431.06 / $431.06	Professional		$431.06	$431.06	$431.06
United Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $313.50 / $472.95	Professional		$156.75	$313.50	$472.95