Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.60 / $910.45 / $3,218.78	Facility		$525.60	$910.45	$3,218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.38 / $921.71 / $1,152.66	Professional		$499.38	$921.71	$1,152.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.05 / $1,318.05 / $1,318.05	Facility		$1,318.05	$1,318.05	$1,318.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $1,595.67	Professional		$495.55	$495.55	$1,595.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.17 / $767.73 / $1,206.44	Facility		$731.17	$767.73	$1,206.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.32 / $1,096.76 / $1,809.65	Facility		$730.32	$1,096.76	$1,809.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $537.63	Professional		$495.55	$495.55	$537.63
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $743.33 / $999.62	Professional		$495.55	$743.33	$999.62