Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.75 / $1,164.54 / $1,978.58	Facility		$249.75	$1,164.54	$1,978.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.30 / $565.30 / $1,085.06	Professional		$565.30	$565.30	$1,085.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.18 / $466.18 / $466.18	Facility		$466.18	$466.18	$466.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.39 / $808.39 / $808.39	Facility		$808.39	$808.39	$808.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $168.75 / $543.38	Professional		$168.75	$168.75	$543.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.63 / $624.38 / $675.00	Facility		$590.63	$624.38	$675.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $379.69 / $379.69	Professional		$151.88	$379.69	$379.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.18 / $624.38 / $808.39	Facility		$466.18	$624.38	$808.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $464.06 / $464.06	Professional		$151.88	$464.06	$464.06
United Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $509.15 / $509.15	Professional		$168.75	$509.15	$509.15