Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $1,698.24	Facility		$426.58	$933.25	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $489.78	Professional		$117.49	$141.25	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $691.83	Facility		$144.54	$144.54	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $467.74	Professional		$141.25	$144.54	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $562.34 / $933.25	Facility		$144.54	$562.34	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $398.11 / $691.83	Facility		$114.82	$398.11	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $288.40 / $436.52	Professional		$87.10	$288.40	$436.52