Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.55 / $1,396.76 / $2,373.14	Facility		$299.55	$1,396.76	$2,373.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.04 / $678.04 / $1,301.43	Professional		$678.04	$678.04	$1,301.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.13 / $559.13 / $559.13	Facility		$559.13	$559.13	$559.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.60 / $969.60 / $969.60	Facility		$969.60	$969.60	$969.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $651.73	Professional		$202.40	$202.40	$651.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.40 / $761.56 / $901.55	Facility		$708.40	$761.56	$901.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $455.40 / $455.40	Professional		$182.16	$455.40	$455.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.13 / $761.56 / $969.60	Facility		$559.13	$761.56	$969.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $556.60 / $556.60	Professional		$182.16	$556.60	$556.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.68 / $404.80 / $610.67	Professional		$190.68	$404.80	$610.67