Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $828.12 / $1,407.00	Facility		$177.60	$828.12	$1,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $402.00 / $771.60	Professional		$402.00	$402.00	$771.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.50 / $331.50 / $331.50	Facility		$331.50	$331.50	$331.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.86 / $574.86 / $574.86	Facility		$574.86	$574.86	$574.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $386.40	Professional		$120.00	$120.00	$386.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $444.00 / $480.00	Facility		$420.00	$444.00	$480.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $270.00 / $270.00	Professional		$108.00	$270.00	$270.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.50 / $444.00 / $574.86	Facility		$331.50	$444.00	$574.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $330.00 / $330.00	Professional		$108.00	$330.00	$330.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $240.00 / $362.07	Professional		$120.00	$240.00	$362.07