Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,995.26 / $1,995.26	Facility		$316.23	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Professional		$309.03	$309.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $851.14	Facility		$309.03	$389.05	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $1,000.00	Professional		$309.03	$389.05	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,230.27 / $1,949.84	Facility		$309.03	$1,230.27	$1,949.84
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 $309.03 / $524.81 / $1,348.96	Facility		$309.03	$524.81	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $436.52	Professional		$338.84	$338.84	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $870.96	Professional		$309.03	$457.09	$870.96