Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $1,584.89	Facility		$263.03	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $457.09	Professional		$245.47	$251.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $602.56	Facility		$245.47	$257.04	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $776.25	Professional		$245.47	$263.03	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $616.60	Facility		$234.42	$363.08	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $338.84	Professional		$234.42	$309.03	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $281.84	Professional		$60.26	$245.47	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $117.49	Facility		$0.24	$0.24	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $724.44	Professional		$338.84	$363.08	$724.44