Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.59 / $435.59 / $1,539.96	Facility		$435.59	$435.59	$1,539.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $439.99 / $439.99	Professional		$270.51	$439.99	$439.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.19 / $629.19 / $629.19	Facility		$629.19	$629.19	$629.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $443.02 / $696.17	Facility		$443.02	$443.02	$696.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $629.19 / $1,044.25	Facility		$443.02	$629.19	$1,044.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $407.40 / $547.87	Professional		$271.60	$407.40	$547.87