Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.30 / $682.30 / $693.00	Facility		$682.30	$682.30	$693.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $252.05 / $557.91	Professional		$206.64	$252.05	$557.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.23 / $656.42 / $903.98	Professional		$573.23	$656.42	$903.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.39 / $557.91 / $853.62	Facility		$247.39	$557.91	$853.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.08 / $724.89 / $1,118.50	Professional		$604.08	$724.89	$1,118.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.58 / $943.74 / $1,310.54	Professional		$344.58	$943.74	$1,310.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.54 / $557.91 / $853.62	Facility		$244.54	$557.91	$853.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.18 / $639.02 / $1,310.54	Professional		$348.18	$639.02	$1,310.54
United Facility/Professional Professional Modifier Low / Median / High Price $642.69 / $723.18 / $1,561.24	Professional		$642.69	$723.18	$1,561.24