Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,905.46	Facility		$549.54	$1,000.00	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $549.54	Professional		$131.83	$158.49	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $1,000.00	Facility		$162.18	$162.18	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $524.81	Professional		$158.49	$162.18	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $630.96 / $1,047.13	Facility		$162.18	$630.96	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $457.09 / $794.33	Facility		$131.83	$457.09	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $331.13 / $489.78	Professional		$97.72	$331.13	$489.78