Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.35 / $698.84 / $1,181.86	Facility		$151.35	$698.84	$1,181.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.57 / $342.57 / $657.53	Professional		$342.57	$342.57	$657.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $282.50 / $282.50	Facility		$282.50	$282.50	$282.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.88 / $489.88 / $489.88	Facility		$489.88	$489.88	$489.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $329.28	Professional		$102.26	$102.26	$329.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.91 / $378.36 / $409.04	Facility		$357.91	$378.36	$409.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $230.09 / $230.09	Professional		$92.03	$230.09	$230.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $378.36 / $489.88	Facility		$282.50	$378.36	$489.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $281.22 / $281.22	Professional		$92.03	$281.22	$281.22
United Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $204.52 / $308.54	Professional		$102.26	$204.52	$308.54