Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,570.40 / $2,570.40	Facility		$407.38	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $467.74	Professional		$389.05	$389.05	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $977.24	Facility		$389.05	$467.74	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $977.24	Professional		$389.05	$467.74	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $616.60 / $977.24	Facility		$389.05	$616.60	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $537.03	Professional		$446.68	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $724.44	Facility		$389.05	$512.86	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $501.19	Professional		$389.05	$389.05	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,096.48	Professional		$389.05	$588.84	$1,096.48