Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $459.93 / $13,413.92	Facility		$219.80	$459.93	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $148.84 / $367.95	Professional		$52.97	$148.84	$367.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $171.34 / $251.03	Professional		$171.34	$171.34	$251.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $352.51 / $515.13	Facility		$63.74	$352.51	$515.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $327.60 / $511.50	Professional		$126.15	$327.60	$511.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $318.60 / $510.67	Professional		$207.90	$318.60	$510.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $352.51 / $515.13	Facility		$63.74	$352.51	$515.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $280.89 / $530.12	Professional		$106.91	$280.89	$530.12
United Facility/Professional Professional Modifier Low / Median / High Price $200.82 / $203.60 / $502.05	Professional		$200.82	$203.60	$502.05