Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.82 / $564.92 / $1,997.24	Facility		$311.82	$564.92	$1,997.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.86 / $574.15 / $715.24	Professional		$309.86	$574.15	$715.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $821.03 / $821.03 / $821.03	Facility		$821.03	$821.03	$821.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $993.95	Professional		$308.68	$308.68	$993.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.66 / $477.46 / $750.29	Facility		$443.66	$477.46	$750.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.52 / $682.08 / $1,125.43	Facility		$435.52	$682.08	$1,125.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $334.89	Professional		$308.68	$308.68	$334.89
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $463.02 / $622.66	Professional		$308.68	$463.02	$622.66