Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.64 / $525.64 / $525.64	Facility		$525.64	$525.64	$525.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.90 / $578.90 / $1,252.11	Professional		$578.90	$578.90	$1,252.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.67 / $576.67 / $632.45	Professional		$576.67	$576.67	$632.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $827.83 / $827.83 / $827.83	Facility		$827.83	$827.83	$827.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $566.70 / $1,022.00	Professional		$288.80	$566.70	$1,022.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $797.85 / $1,068.72	Professional		$730.00	$797.85	$1,068.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $827.83 / $827.83 / $827.83	Facility		$827.83	$827.83	$827.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $760.00 / $1,409.85	Professional		$288.80	$760.00	$1,409.85
United Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $505.96 / $758.94	Professional		$269.01	$505.96	$758.94