Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.65 / $606.01 / $2,142.46	Facility		$354.65	$606.01	$2,142.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $612.04 / $767.23	Professional		$332.39	$612.04	$767.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.22 / $875.22 / $875.22	Facility		$875.22	$875.22	$875.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $1,059.54	Professional		$329.05	$329.05	$1,059.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $518.66 / $815.03	Facility		$480.02	$518.66	$815.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.75 / $740.94 / $1,222.55	Facility		$480.75	$740.94	$1,222.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $356.99	Professional		$329.05	$329.05	$356.99
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $493.58 / $663.76	Professional		$329.05	$493.58	$663.76