Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,513.56 / $1,513.56	Facility		$371.54	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $371.54	Professional		$234.42	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $616.60	Facility		$234.42	$281.84	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $575.44	Professional		$234.42	$288.40	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,258.93 / $1,995.26	Facility		$234.42	$1,258.93	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,071.52	Professional		$891.25	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $3,388.44	Facility		$173.78	$302.00	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $316.23	Professional		$177.83	$239.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $660.69	Professional		$234.42	$346.74	$660.69