Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $1,122.02	Facility		$398.11	$707.95	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $309.03	Professional		$74.13	$85.11	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $660.69	Facility		$91.20	$91.20	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $275.42 / $295.12	Professional		$87.10	$275.42	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $338.84 / $363.08	Facility		$91.20	$338.84	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $251.19 / $436.52	Facility		$74.13	$251.19	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $91.20	Professional		$60.26	$60.26	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $181.97 / $275.42	Professional		$54.95	$181.97	$275.42