Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,311.31 / $3,311.31	Facility		$537.03	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Professional		$512.86	$512.86	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Facility		$512.86	$512.86	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,659.59	Professional		$512.86	$512.86	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,318.26	Facility		$512.86	$831.76	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,380.38	Facility		$954.99	$954.99	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $512.86 / $562.34	Professional		$60.26	$512.86	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $2,089.30	Professional		$512.86	$776.25	$2,089.30