Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.52 / $939.72 / $2,564.14	Facility		$433.52	$939.72	$2,564.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $729.29 / $765.75	Professional		$392.08	$729.29	$765.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Professional		$392.09	$392.09	$401.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.69 / $411.69 / $411.69	Facility		$411.69	$411.69	$411.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $980.23	Professional		$392.09	$392.09	$980.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.64 / $660.60 / $1,038.08	Facility		$391.64	$660.60	$1,038.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.64 / $519.04 / $566.23	Professional		$391.64	$519.04	$566.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.69 / $411.69 / $943.72	Facility		$411.69	$411.69	$943.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $425.39 / $519.04	Professional		$392.09	$425.39	$519.04
United Facility/Professional Professional Modifier Low / Median / High Price $548.92 / $588.14 / $1,176.27	Professional		$548.92	$588.14	$1,176.27