Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $2,511.89	Facility		$407.38	$794.33	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $131.83	Professional		$40.74	$64.57	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $263.03	Professional		$109.65	$151.36	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $213.80 / $1,122.02	Facility		$46.77	$213.80	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $288.40	Professional		$72.44	$158.49	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $346.74	Professional		$151.36	$239.88	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $302.00	Facility		$50.12	$81.28	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $151.36	Professional		$58.88	$85.11	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $208.93 / $338.84	Professional		$60.26	$208.93	$338.84