Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,995.26	Facility		$707.95	$1,230.27	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $575.44	Professional		$138.04	$162.18	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $851.14	Facility		$169.82	$169.82	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $549.54	Professional		$162.18	$169.82	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $630.96 / $676.08	Facility		$169.82	$630.96	$676.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $467.74 / $812.83	Facility		$134.90	$467.74	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $338.84 / $512.86	Professional		$102.33	$338.84	$512.86