Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.01 / $449.01 / $449.01	Facility		$449.01	$449.01	$449.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.47 / $494.51 / $494.51	Professional		$263.47	$494.51	$494.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $263.10 / $657.86	Professional		$185.41	$263.10	$657.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.11 / $494.51 / $707.15	Facility		$140.11	$494.51	$707.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $359.04 / $819.92	Professional		$299.20	$359.04	$819.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.50 / $778.75 / $1,246.00	Professional		$462.50	$778.75	$1,246.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.11 / $494.51 / $707.15	Facility		$140.11	$494.51	$707.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $535.00 / $1,246.00	Professional		$201.84	$535.00	$1,246.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $657.85 / $1,118.34	Professional		$229.72	$657.85	$1,118.34