Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $512.00 / $512.00	Facility		$512.00	$512.00	$512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $261.14 / $287.26	Professional		$175.45	$261.14	$287.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.28 / $241.28 / $241.28	Facility		$241.28	$241.28	$241.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $840.90	Professional		$261.14	$261.14	$840.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $604.76	Facility		$384.85	$384.85	$604.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $168.73 / $168.73	Professional		$168.73	$168.73	$168.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.28 / $373.67 / $880.80	Facility		$241.28	$373.67	$880.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $269.49 / $283.31	Professional		$152.13	$269.49	$283.31
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $240.62 / $288.60	Professional		$240.62	$240.62	$288.60