Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $875.66 / $10,900.00	Facility		$303.80	$875.66	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $240.05 / $700.53	Professional		$78.12	$240.05	$700.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $267.47 / $471.44	Professional		$179.63	$267.47	$471.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.66 / $700.92 / $980.74	Facility		$500.66	$700.92	$980.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $310.52 / $441.54	Professional		$258.77	$310.52	$441.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $447.36 / $648.00	Professional		$312.20	$447.36	$648.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.66 / $700.92 / $980.74	Facility		$500.66	$700.92	$980.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.96 / $388.80 / $706.86	Professional		$200.96	$388.80	$706.86
United Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $377.16 / $568.99	Professional		$163.78	$377.16	$568.99