Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.24 / $1,642.44 / $2,790.55	Facility		$352.24	$1,642.44	$2,790.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.30 / $797.30 / $1,530.34	Professional		$797.30	$797.30	$1,530.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.48 / $657.48 / $657.48	Facility		$657.48	$657.48	$657.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.14 / $1,140.14 / $1,140.14	Facility		$1,140.14	$1,140.14	$1,140.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $766.36	Professional		$238.00	$238.00	$766.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.76 / $880.60 / $952.00	Facility		$645.76	$880.60	$952.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $535.50 / $535.50	Professional		$214.20	$535.50	$535.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.76 / $833.00 / $1,140.14	Facility		$645.76	$833.00	$1,140.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $654.50 / $654.50	Professional		$214.20	$654.50	$654.50
United Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $476.00 / $718.10	Professional		$161.68	$476.00	$718.10