Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $989.83 / $1,673.97	Facility		$429.10	$989.83	$1,673.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.21 / $485.21 / $931.32	Professional		$485.21	$485.21	$931.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $400.14 / $400.14	Facility		$400.14	$400.14	$400.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.85 / $693.85 / $693.85	Facility		$693.85	$693.85	$693.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $144.84 / $466.38	Professional		$144.84	$144.84	$466.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.94 / $557.63 / $934.25	Facility		$506.94	$557.63	$934.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $325.89 / $325.89	Professional		$130.36	$325.89	$325.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $557.63 / $934.25	Facility		$400.14	$557.63	$934.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $398.31 / $398.31	Professional		$144.84	$398.31	$398.31
United Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $357.62 / $437.01	Professional		$197.59	$357.62	$437.01