Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.32 / $1,614.83 / $2,743.65	Facility		$346.32	$1,614.83	$2,743.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.90 / $783.90 / $1,504.62	Professional		$783.90	$783.90	$1,504.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.42 / $646.42 / $646.42	Facility		$646.42	$646.42	$646.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.98 / $1,120.98 / $1,120.98	Facility		$1,120.98	$1,120.98	$1,120.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $753.48	Professional		$234.00	$234.00	$753.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $865.80 / $936.00	Facility		$819.00	$865.80	$936.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $526.50 / $526.50	Professional		$210.60	$526.50	$526.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.42 / $865.80 / $1,120.98	Facility		$646.42	$865.80	$1,120.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $643.50 / $643.50	Professional		$210.60	$643.50	$643.50
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $468.00 / $706.03	Professional		$234.00	$468.00	$706.03