Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $625.66 / $1,147.64	Facility		$187.70	$625.66	$1,147.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $178.76 / $178.76	Professional		$178.76	$178.76	$178.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $133.52 / $133.52	Professional		$133.52	$133.52	$133.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $103.97 / $255.63	Facility		$103.97	$103.97	$255.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.65 / $551.57 / $1,872.05	Professional		$376.65	$551.57	$1,872.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.76 / $244.90 / $255.63	Facility		$178.76	$244.90	$255.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $1,396.26 / $1,946.00	Professional		$348.75	$1,396.26	$1,946.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.80 / $833.76 / $1,301.45	Professional		$516.80	$833.76	$1,301.45