Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $501.19	Professional		$281.84	$331.13	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,122.02	Professional		$724.44	$831.76	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $1,023.29	Facility		$302.00	$436.52	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $831.76 / $1,621.81	Professional		$316.23	$831.76	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $1,621.81	Professional		$630.96	$1,258.93	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $977.24	Facility		$302.00	$407.38	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,047.13	Professional		$79.43	$776.25	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,905.46	Professional		$489.78	$912.01	$1,905.46