Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $891.25 / $1,513.56	Facility		$416.87	$891.25	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,862.09	Facility		$416.87	$416.87	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,348.96	Professional		$416.87	$416.87	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,548.82 / $1,659.59	Facility		$416.87	$1,548.82	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,148.15	Facility		$416.87	$416.87	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $933.25 / $1,412.54	Professional		$251.19	$933.25	$1,412.54