Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.95 / $625.64 / $2,211.86	Facility		$378.95	$625.64	$2,211.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.96 / $632.98 / $792.08	Professional		$631.96	$632.98	$792.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $340.31 / $340.31	Professional		$328.91	$340.31	$340.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.33 / $357.33 / $357.33	Facility		$357.33	$357.33	$357.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $850.78	Professional		$340.31	$340.31	$850.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.17 / $541.73 / $851.29	Facility		$321.17	$541.73	$851.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $425.65 / $464.34	Professional		$321.17	$425.65	$464.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.33 / $357.33 / $773.90	Facility		$357.33	$357.33	$773.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $369.21 / $425.65	Professional		$328.91	$369.21	$425.65
United Facility/Professional Professional Modifier Low / Median / High Price $476.43 / $510.47 / $1,020.93	Professional		$476.43	$510.47	$1,020.93