Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $1,701.23 / $2,890.44	Facility		$364.85	$1,701.23	$2,890.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.84 / $825.84 / $1,585.12	Professional		$825.84	$825.84	$1,585.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.02 / $681.02 / $681.02	Facility		$681.02	$681.02	$681.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,180.95 / $1,180.95 / $1,180.95	Facility		$1,180.95	$1,180.95	$1,180.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $246.52 / $793.79	Professional		$246.52	$246.52	$793.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.82 / $949.10 / $1,168.50	Facility		$862.82	$949.10	$1,168.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $554.66 / $554.66	Professional		$221.87	$554.66	$554.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.02 / $949.10 / $1,180.95	Facility		$681.02	$949.10	$1,180.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $677.93 / $677.93	Professional		$221.87	$677.93	$677.93
United Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $493.04 / $743.80	Professional		$247.14	$493.04	$743.80