Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,344.23 / $3,981.07	Facility		$478.63	$2,344.23	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $1,096.48	Professional		$263.03	$316.23	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,445.44	Facility		$323.59	$323.59	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $323.59 / $1,047.13	Professional		$316.23	$323.59	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,258.93 / $1,548.82	Facility		$323.59	$1,258.93	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $891.25 / $1,548.82	Facility		$257.04	$891.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $645.65 / $977.24	Professional		$194.98	$645.65	$977.24