Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.47 / $2,285.50 / $2,285.50	Facility		$646.47	$2,285.50	$2,285.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $653.00	Professional		$386.96	$401.47	$653.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $653.00 / $933.79	Facility		$411.15	$653.00	$933.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.71 / $546.73 / $546.73	Professional		$382.71	$546.73	$546.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.18 / $677.18 / $1,064.14	Facility		$677.18	$677.18	$1,064.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.70 / $580.44 / $580.44	Professional		$483.70	$580.44	$580.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $653.00 / $967.40	Facility		$411.15	$653.00	$967.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $580.44	Professional		$411.15	$411.15	$580.44
United Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $604.62 / $1,148.78	Professional		$427.26	$604.62	$1,148.78