Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.02 / $861.02 / $873.29	Facility		$861.02	$861.02	$873.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $324.95 / $704.08	Professional		$258.02	$324.95	$704.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.77 / $825.49 / $1,132.80	Professional		$719.77	$825.49	$1,132.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $704.08 / $1,077.24	Facility		$310.20	$704.08	$1,077.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.33 / $911.19 / $1,407.21	Professional		$759.33	$911.19	$1,407.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.24 / $1,179.35 / $1,645.26	Professional		$433.24	$1,179.35	$1,645.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.47 / $704.08 / $1,077.24	Facility		$305.47	$704.08	$1,077.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.05 / $803.43 / $1,638.00	Professional		$436.05	$803.43	$1,638.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.37 / $906.24 / $1,812.48	Professional		$809.37	$906.24	$1,812.48