Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.17 / $592.82 / $926.28	Facility		$328.17	$592.82	$926.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.89 / $592.82 / $913.04	Professional		$539.89	$592.82	$913.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.24 / $218.24 / $218.24	Facility		$218.24	$218.24	$218.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.45 / $378.45 / $378.45	Facility		$378.45	$378.45	$378.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $79.00 / $254.38	Professional		$71.09	$79.00	$254.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.50 / $292.30 / $316.00	Facility		$276.50	$292.30	$316.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $177.75 / $177.75	Professional		$71.09	$177.75	$177.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.24 / $292.30 / $378.45	Facility		$218.24	$292.30	$378.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $217.25 / $217.25	Professional		$71.09	$217.25	$217.25
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $158.00 / $238.36	Professional		$79.00	$158.00	$238.36