Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.98 / $1,277.51 / $2,170.53	Facility		$273.98	$1,277.51	$2,170.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.15 / $620.15 / $1,190.32	Professional		$620.15	$620.15	$1,190.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.40 / $511.40 / $511.40	Facility		$511.40	$511.40	$511.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $886.81 / $886.81 / $886.81	Facility		$886.81	$886.81	$886.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $596.09	Professional		$185.12	$185.12	$596.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.91 / $684.94 / $740.48	Facility		$647.91	$684.94	$740.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $416.52 / $416.52	Professional		$166.61	$416.52	$416.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.40 / $684.94 / $886.81	Facility		$511.40	$684.94	$886.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $509.08 / $509.08	Professional		$166.61	$509.08	$509.08
United Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $370.24 / $558.54	Professional		$185.12	$370.24	$558.54