Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $2,570.40	Facility		$309.03	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $691.83	Professional		$169.82	$204.17	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $933.25	Facility		$208.93	$208.93	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $676.08	Professional		$208.93	$208.93	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $812.83 / $1,348.96	Facility		$208.93	$812.83	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $575.44 / $1,000.00	Facility		$165.96	$575.44	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $416.87 / $630.96	Professional		$125.89	$416.87	$630.96