Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,513.56 / $2,511.89	Facility		$346.74	$1,513.56	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $724.44	Professional		$173.78	$208.93	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $954.99	Facility		$213.80	$213.80	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $691.83	Professional		$208.93	$213.80	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $831.76 / $1,047.13	Facility		$213.80	$831.76	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $588.84 / $1,023.29	Facility		$169.82	$588.84	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $426.58 / $645.65	Professional		$128.82	$426.58	$645.65