Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.35 / $1,307.84 / $2,398.96	Facility		$392.35	$1,307.84	$2,398.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $373.67 / $373.67	Professional		$373.67	$373.67	$373.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.05 / $401.05 / $401.05	Professional		$401.05	$401.05	$401.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.35 / $534.35 / $534.35	Facility		$534.35	$534.35	$534.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $134.66 / $192.38	Professional		$134.66	$134.66	$192.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.75 / $511.65 / $1,235.25	Professional		$458.75	$511.65	$1,235.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.93 / $511.93 / $534.35	Facility		$511.93	$511.93	$534.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $597.00 / $1,235.25	Professional		$192.38	$597.00	$1,235.25
United Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $481.26 / $1,835.91	Professional		$168.21	$481.26	$1,835.91