Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.49 / $1,037.44 / $1,762.64	Facility		$222.49	$1,037.44	$1,762.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $503.61 / $966.62	Professional		$503.61	$503.61	$966.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.27 / $415.27 / $415.27	Facility		$415.27	$415.27	$415.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.16 / $720.16 / $720.16	Facility		$720.16	$720.16	$720.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $484.06	Professional		$150.33	$150.33	$484.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.16 / $556.22 / $601.32	Facility		$526.16	$556.22	$601.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $338.24 / $338.24	Professional		$135.30	$338.24	$338.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.27 / $556.22 / $720.16	Facility		$415.27	$556.22	$720.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $413.41 / $413.41	Professional		$135.30	$413.41	$413.41
United Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $300.66 / $453.58	Professional		$150.33	$300.66	$453.58