Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $1,142.19 / $1,940.61	Facility		$244.96	$1,142.19	$1,940.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.46 / $554.46 / $1,064.23	Professional		$554.46	$554.46	$1,064.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $457.22 / $457.22	Facility		$457.22	$457.22	$457.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.88 / $792.88 / $792.88	Facility		$792.88	$792.88	$792.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $165.51 / $532.94	Professional		$165.51	$165.51	$532.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.29 / $637.21 / $784.52	Facility		$579.29	$637.21	$784.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $372.40 / $372.40	Professional		$148.96	$372.40	$372.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $637.21 / $792.88	Facility		$457.22	$637.21	$792.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $455.15 / $455.15	Professional		$148.96	$455.15	$455.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $331.02 / $499.38	Professional		$165.92	$331.02	$499.38