Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,862.09 / $3,162.28	Facility		$389.05	$1,862.09	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $870.96	Professional		$208.93	$251.19	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,174.90	Facility		$263.03	$263.03	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $831.76	Professional		$263.03	$263.03	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,000.00 / $1,698.24	Facility		$263.03	$1,000.00	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $724.44 / $1,258.93	Facility		$208.93	$724.44	$1,258.93
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 $154.88 / $524.81 / $794.33	Professional		$154.88	$524.81	$794.33