Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.60 / $780.16 / $10,900.00	Facility		$217.60	$780.16	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $136.55 / $624.13	Professional		$72.50	$136.55	$624.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $222.49 / $410.71	Professional		$123.43	$222.49	$410.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $525.02 / $873.78	Facility		$367.15	$525.02	$873.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $212.52 / $387.18	Professional		$177.10	$212.52	$387.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $317.55 / $557.79	Professional		$238.70	$317.55	$557.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $525.02 / $873.78	Facility		$367.15	$525.02	$873.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $313.50 / $553.50	Professional		$138.88	$313.50	$553.50
United Facility/Professional Professional Modifier Low / Median / High Price $233.46 / $328.56 / $330.08	Professional		$233.46	$328.56	$330.08