Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $649.74 / $1,191.81	Facility		$194.92	$649.74	$1,191.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $185.64 / $185.64	Professional		$185.64	$185.64	$185.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.22 / $386.22 / $386.22	Facility		$386.22	$386.22	$386.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.47 / $265.47 / $265.47	Facility		$265.47	$265.47	$265.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $139.05 / $583.75	Professional		$128.75	$139.05	$583.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.47 / $265.47 / $386.22	Facility		$265.47	$265.47	$386.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $700.50 / $1,067.09	Professional		$128.75	$700.50	$1,067.09
United Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $398.60 / $602.90	Professional		$247.80	$398.60	$602.90