Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,089.30 / $2,089.30	Facility		$346.74	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Professional		$323.59	$323.59	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $812.83	Facility		$323.59	$380.19	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $812.83	Professional		$323.59	$389.05	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $831.76	Facility		$323.59	$524.81	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $446.68	Professional		$371.54	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $602.56	Facility		$323.59	$426.58	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $426.58	Professional		$323.59	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $912.01	Professional		$323.59	$489.78	$912.01