Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,585.78 / $9,120.11	Facility		$776.25	$7,585.78	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $218.78	Professional		$120.23	$120.23	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $316.23	Facility		$120.23	$120.23	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $380.19	Professional		$120.23	$120.23	$380.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $549.54 / $870.96	Facility		$120.23	$549.54	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $316.23	Facility		$223.87	$223.87	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $128.82	Professional		$60.26	$120.23	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $354.81	Professional		$131.83	$177.83	$354.81