Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,819.70 / $3,090.30	Facility		$380.19	$1,819.70	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $851.14	Professional		$204.17	$245.47	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,148.15	Facility		$257.04	$257.04	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $812.83	Professional		$245.47	$257.04	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $933.25 / $1,047.13	Facility		$257.04	$933.25	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $707.95 / $1,230.27	Facility		$204.17	$707.95	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $512.86 / $776.25	Professional		$151.36	$512.86	$776.25