Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $715.98 / $2,531.23	Facility		$330.98	$715.98	$2,531.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.95 / $431.89 / $730.29	Professional		$351.95	$431.89	$730.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.56 / $730.29 / $1,022.41	Facility		$396.56	$730.29	$1,022.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $785.26	Professional		$392.63	$392.63	$785.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.49 / $564.17 / $657.62	Facility		$418.49	$564.17	$657.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.92 / $358.70 / $358.70	Professional		$298.92	$358.70	$358.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $730.29 / $1,022.41	Facility		$392.63	$730.29	$1,022.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.70 / $401.36 / $500.04	Professional		$358.70	$401.36	$500.04
United Facility/Professional Professional Modifier Low / Median / High Price $416.19 / $588.95 / $1,177.89	Professional		$416.19	$588.95	$1,177.89