Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $1,479.11	Facility		$524.81	$954.99	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $407.38	Professional		$97.72	$114.82	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $870.96	Facility		$123.03	$123.03	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $389.05	Professional		$117.49	$134.90	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $446.68 / $489.78	Facility		$123.03	$446.68	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $338.84 / $588.84	Facility		$97.72	$338.84	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $134.90	Professional		$60.26	$60.26	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $245.47 / $371.54	Professional		$72.44	$245.47	$371.54