Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.60 / $879.39 / $1,494.11	Facility		$188.60	$879.39	$1,494.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.89 / $426.89 / $819.38	Professional		$426.89	$426.89	$819.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.03 / $352.03 / $352.03	Facility		$352.03	$352.03	$352.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.45 / $610.45 / $610.45	Facility		$610.45	$610.45	$610.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $410.32	Professional		$127.43	$127.43	$410.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.01 / $490.61 / $718.35	Facility		$446.01	$490.61	$718.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $286.72 / $286.72	Professional		$114.69	$286.72	$286.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.03 / $490.61 / $718.35	Facility		$352.03	$490.61	$718.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $350.43 / $350.43	Professional		$114.69	$350.43	$350.43
United Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $274.95 / $384.48	Professional		$151.93	$274.95	$384.48