Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.18 / $1,404.36 / $2,386.05	Facility		$301.18	$1,404.36	$2,386.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.73 / $681.73 / $1,308.51	Professional		$681.73	$681.73	$1,308.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.19 / $562.19 / $562.19	Facility		$562.19	$562.19	$562.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $974.87 / $974.87 / $974.87	Facility		$974.87	$974.87	$974.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $203.50 / $655.27	Professional		$203.50	$203.50	$655.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.25 / $783.48 / $1,048.06	Facility		$712.25	$783.48	$1,048.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $457.88 / $457.88	Professional		$183.15	$457.88	$457.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.19 / $783.48 / $1,048.06	Facility		$562.19	$783.48	$1,048.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $559.63 / $559.63	Professional		$183.15	$559.63	$559.63
United Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $407.00 / $614.00	Professional		$221.66	$407.00	$614.00