Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.33 / $1,223.21 / $2,078.26	Facility		$262.33	$1,223.21	$2,078.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.79 / $593.79 / $1,139.72	Professional		$593.79	$593.79	$1,139.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.64 / $489.64 / $489.64	Facility		$489.64	$489.64	$489.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.12 / $849.12 / $849.12	Facility		$849.12	$849.12	$849.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $570.75	Professional		$177.25	$177.25	$570.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.38 / $682.41 / $1,143.33	Facility		$620.38	$682.41	$1,143.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $398.81 / $398.81	Professional		$159.53	$398.81	$398.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.64 / $682.41 / $1,143.33	Facility		$489.64	$682.41	$1,143.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $487.44 / $487.44	Professional		$177.25	$487.44	$487.44
United Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $437.66 / $534.79	Professional		$241.81	$437.66	$534.79