Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.86 / $693.25 / $6,579.38	Facility		$397.86	$693.25	$6,579.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $377.51 / $788.46	Professional		$377.51	$377.51	$788.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,004.13 / $1,004.13 / $1,004.13	Facility		$1,004.13	$1,004.13	$1,004.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $1,215.60	Professional		$377.52	$377.52	$1,215.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.45 / $601.73 / $945.58	Facility		$558.45	$601.73	$945.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.86 / $859.62 / $1,418.37	Facility		$559.86	$859.62	$1,418.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $409.57	Professional		$377.52	$377.52	$409.57
United Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $566.28 / $1,132.56	Professional		$420.26	$566.28	$1,132.56