Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $186.21 / $588.84	Facility		$9.77	$186.21	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $489.78	Professional		$120.23	$186.21	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $575.44	Professional		$331.13	$512.86	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $588.84	Facility		$109.65	$208.93	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $588.84	Professional		$117.49	$208.93	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $1,023.29	Professional		$588.84	$645.65	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $478.63	Facility		$128.82	$181.97	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $512.86	Professional		$144.54	$229.09	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $616.60	Professional		$263.03	$407.38	$616.60