Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.39 / $488.39 / $1,726.62	Facility		$488.39	$488.39	$1,726.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $493.32 / $828.44	Professional		$303.30	$493.32	$828.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.45 / $705.45 / $705.45	Facility		$705.45	$705.45	$705.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $217.12 / $310.18	Professional		$217.12	$217.12	$310.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.59 / $511.59 / $803.92	Facility		$511.59	$511.59	$803.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.59 / $705.45 / $1,205.89	Facility		$511.59	$705.45	$1,205.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $310.18 / $310.61	Professional		$217.12	$310.18	$310.61
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $447.45 / $601.73	Professional		$298.30	$447.45	$601.73