Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,905.46	Facility		$676.08	$1,230.27	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $524.81	Professional		$147.91	$151.36	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $758.58	Facility		$158.49	$158.49	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $501.19	Professional		$158.49	$158.49	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $630.96	Facility		$575.44	$602.56	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $436.52 / $758.58	Facility		$125.89	$436.52	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $316.23 / $467.74	Professional		$93.33	$316.23	$467.74