Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.45 / $719.51 / $2,543.73	Facility		$413.45	$719.51	$2,543.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.65 / $729.24 / $910.93	Professional		$394.65	$729.24	$910.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,042.81 / $1,042.81 / $1,042.81	Facility		$1,042.81	$1,042.81	$1,042.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $1,262.43	Professional		$392.06	$392.06	$1,262.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.98 / $618.32 / $971.65	Facility		$577.98	$618.32	$971.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.66 / $883.32 / $1,457.48	Facility		$579.66	$883.32	$1,457.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $425.35	Professional		$392.06	$392.06	$425.35
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $588.09 / $790.86	Professional		$392.06	$588.09	$790.86