Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.82 / $1,430.65 / $2,430.71	Facility		$306.82	$1,430.65	$2,430.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.49 / $694.49 / $1,333.00	Professional		$694.49	$694.49	$1,333.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.69 / $572.69 / $572.69	Facility		$572.69	$572.69	$572.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.12 / $993.12 / $993.12	Facility		$993.12	$993.12	$993.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $667.54	Professional		$207.31	$207.31	$667.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.59 / $798.14 / $2,039.67	Facility		$725.59	$798.14	$2,039.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $466.45 / $466.45	Professional		$186.58	$466.45	$466.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.69 / $798.14 / $2,039.67	Facility		$572.69	$798.14	$2,039.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $570.10 / $570.10	Professional		$207.32	$570.10	$570.10
United Facility/Professional Professional Modifier Low / Median / High Price $414.62 / $511.88 / $625.50	Professional		$414.62	$511.88	$625.50