Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.37 / $637.48 / $2,253.71	Facility		$354.37	$637.48	$2,253.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $807.07	Professional		$346.11	$346.11	$807.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $920.58 / $920.58 / $920.58	Facility		$920.58	$920.58	$920.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $1,114.47	Professional		$346.11	$346.11	$1,114.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.54 / $560.70 / $881.10	Facility		$511.54	$560.70	$881.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.97 / $785.30 / $1,295.75	Facility		$499.97	$785.30	$1,295.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $375.50	Professional		$346.11	$346.11	$375.50
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $519.16 / $698.17	Professional		$346.11	$519.16	$698.17