Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $812.83 / $12,022.64	Facility		$371.54	$812.83	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $426.58	Professional		$81.28	$120.23	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $389.05	Professional		$309.03	$309.03	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $812.83	Facility		$104.71	$165.96	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $380.19 / $831.76	Professional		$134.90	$380.19	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $660.69	Professional		$371.54	$512.86	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $812.83	Facility		$151.36	$426.58	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $389.05	Professional		$60.26	$107.15	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $616.60	Professional		$234.42	$309.03	$616.60