Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $489.78	Facility		$302.00	$302.00	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $562.34	Facility		$302.00	$389.05	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $489.78	Professional		$60.26	$204.17	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $398.11 / $616.60	Facility		$380.19	$398.11	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $562.34	Facility		$389.05	$389.05	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $288.40	Professional		$60.26	$63.10	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $309.03	Professional		$151.36	$257.04	$309.03