Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.69 / $754.09 / $2,665.99	Facility		$452.69	$754.09	$2,665.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $465.18 / $786.58	Professional		$422.89	$465.18	$786.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $427.12 / $786.58 / $1,101.21	Facility		$427.12	$786.58	$1,101.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $845.78	Professional		$422.89	$422.89	$845.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.58 / $1,159.36 / $1,821.86	Facility		$603.58	$1,159.36	$1,821.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.12 / $993.74 / $993.74	Professional		$828.12	$993.74	$993.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $786.58 / $1,159.36	Facility		$422.89	$786.58	$1,159.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $480.30 / $828.12	Professional		$422.89	$480.30	$828.12
United Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $634.34 / $1,268.67	Professional		$448.26	$634.34	$1,268.67