Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.84 / $1,816.61 / $1,816.61	Facility		$513.84	$1,816.61	$1,816.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $319.11 / $519.03	Professional		$307.58	$319.11	$519.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $519.03 / $742.21	Facility		$326.80	$519.03	$742.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.26 / $538.26 / $845.83	Facility		$538.26	$538.26	$845.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.47 / $461.36 / $461.36	Professional		$384.47	$461.36	$461.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $519.03 / $768.94	Facility		$326.80	$519.03	$768.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $384.43 / $461.36	Professional		$326.80	$384.43	$461.36
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $480.59 / $812.33	Professional		$320.39	$480.59	$812.33