Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.03 / $1,011.78 / $5,887.76	Facility		$185.03	$1,011.78	$5,887.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $194.09 / $1,238.57	Professional		$176.44	$194.09	$1,238.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $216.40	Professional		$176.45	$176.45	$216.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $328.19 / $919.78	Facility		$178.21	$328.19	$919.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $352.90	Professional		$176.45	$176.45	$352.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.89 / $758.84 / $1,192.47	Facility		$272.89	$758.84	$1,192.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.03 / $650.44 / $650.44	Professional		$542.03	$650.44	$650.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.51 / $328.19 / $919.78	Facility		$272.51	$328.19	$919.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $211.81 / $542.03	Professional		$176.45	$211.81	$542.03
United Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $264.68 / $529.35	Professional		$187.04	$264.68	$529.35