Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,398.83 / $4,073.80	Facility		$501.19	$2,398.83	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $1,122.02	Professional		$269.15	$323.59	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,513.56	Facility		$338.84	$338.84	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,071.52	Professional		$338.84	$338.84	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,288.25 / $2,187.76	Facility		$338.84	$1,288.25	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $933.25 / $1,621.81	Facility		$269.15	$933.25	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $676.08 / $1,023.29	Professional		$199.53	$676.08	$1,023.29