Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.70 / $700.07 / $2,474.98	Facility		$406.70	$700.07	$2,474.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.98 / $709.33 / $906.91	Professional		$383.98	$709.33	$906.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.34 / $1,014.34 / $1,014.34	Facility		$1,014.34	$1,014.34	$1,014.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $1,227.98	Professional		$381.36	$381.36	$1,227.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.55 / $613.55 / $964.17	Facility		$564.55	$613.55	$964.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.71 / $876.52 / $1,446.26	Facility		$557.71	$876.52	$1,446.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $413.74	Professional		$381.36	$381.36	$413.74
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $572.04 / $769.28	Professional		$381.36	$572.04	$769.28