Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.75 / $632.54 / $1,074.71	Facility		$380.75	$632.54	$1,074.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.06 / $307.06 / $307.06	Professional		$307.06	$307.06	$307.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $253.22 / $253.22	Facility		$253.22	$253.22	$253.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.10 / $439.10 / $439.10	Facility		$439.10	$439.10	$439.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $295.14	Professional		$91.66	$91.66	$295.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.81 / $339.14 / $366.64	Facility		$320.81	$339.14	$366.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $206.24 / $206.24	Professional		$82.49	$206.24	$206.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $339.14 / $439.10	Facility		$253.22	$339.14	$439.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $252.07 / $252.07	Professional		$91.67	$252.07	$252.07
United Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $226.34 / $276.56	Professional		$113.17	$226.34	$276.56