Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.54 / $1,260.42 / $2,696.70	Facility		$615.54	$1,260.42	$2,696.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $179.51 / $586.24	Professional		$138.56	$179.51	$586.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $496.34 / $585.94	Professional		$496.34	$496.34	$585.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.32 / $838.32 / $838.32	Facility		$838.32	$838.32	$838.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.05 / $494.91 / $892.50	Professional		$227.05	$494.91	$892.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.50 / $676.35 / $1,457.90	Professional		$597.50	$676.35	$1,457.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.15 / $803.15 / $838.32	Facility		$803.15	$803.15	$838.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $626.25 / $1,314.50	Professional		$332.53	$626.25	$1,314.50
United Facility/Professional Professional Modifier Low / Median / High Price $212.24 / $703.14 / $2,682.34	Professional		$212.24	$703.14	$2,682.34