Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,041.74 / $3,388.44	Facility		$645.65	$2,041.74	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $977.24	Professional		$234.42	$281.84	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,380.38	Facility		$288.40	$288.40	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $288.40 / $933.25	Professional		$281.84	$288.40	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,122.02 / $1,380.38	Facility		$288.40	$1,122.02	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $812.83 / $1,380.38	Facility		$234.42	$812.83	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $588.84 / $870.96	Professional		$173.78	$588.84	$870.96