Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.90 / $551.88 / $1,451.09	Facility		$489.90	$551.88	$1,451.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $314.00 / $470.52	Professional		$313.68	$314.00	$470.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.84 / $672.84 / $672.84	Facility		$672.84	$672.84	$672.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $313.68 / $1,010.05	Professional		$313.68	$313.68	$1,010.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.75 / $695.37 / $1,092.72	Facility		$494.75	$695.37	$1,092.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.50 / $385.50 / $385.50	Professional		$385.50	$385.50	$385.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.93 / $695.37 / $1,639.08	Facility		$510.93	$695.37	$1,639.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $385.50 / $486.76	Professional		$340.31	$385.50	$486.76
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $340.89 / $529.09	Professional		$340.89	$340.89	$529.09