Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,445.44 / $2,454.71	Facility		$295.12	$1,445.44	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $676.08	Professional		$162.18	$194.98	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $912.01	Facility		$199.53	$199.53	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $645.65	Professional		$194.98	$199.53	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $776.25 / $1,288.25	Facility		$199.53	$776.25	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $562.34 / $954.99	Facility		$162.18	$562.34	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $407.38 / $602.56	Professional		$120.23	$407.38	$602.56