Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $697.83 / $1,185.63	Facility		$149.66	$697.83	$1,185.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.75 / $338.75 / $650.20	Professional		$338.75	$338.75	$650.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $279.35 / $279.35	Facility		$279.35	$279.35	$279.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.41 / $484.41 / $484.41	Facility		$484.41	$484.41	$484.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $325.61	Professional		$101.12	$101.12	$325.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.92 / $374.14 / $404.48	Facility		$353.92	$374.14	$404.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $227.52 / $227.52	Professional		$91.01	$227.52	$227.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $374.14 / $484.41	Facility		$279.35	$374.14	$484.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $278.08 / $278.08	Professional		$91.01	$278.08	$278.08
United Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $202.24 / $305.10	Professional		$101.12	$202.24	$305.10