Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,071.52 / $1,819.70	Facility		$223.87	$1,071.52	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $501.19	Professional		$120.23	$144.54	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $676.08	Facility		$151.36	$151.36	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $478.63	Professional		$151.36	$151.36	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $549.54 / $602.56	Facility		$151.36	$549.54	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $416.87 / $724.44	Facility		$120.23	$416.87	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $302.00 / $457.09	Professional		$89.13	$302.00	$457.09