Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $653.79 / $1,094.96	Facility		$140.22	$653.79	$1,094.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.38 / $317.38 / $609.17	Professional		$317.38	$317.38	$609.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.72 / $261.72 / $261.72	Facility		$261.72	$261.72	$261.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.85 / $453.85 / $453.85	Facility		$453.85	$453.85	$453.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $305.06	Professional		$94.74	$94.74	$305.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.59 / $364.75 / $592.22	Facility		$331.59	$364.75	$592.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $213.17 / $213.17	Professional		$85.27	$213.17	$213.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.72 / $364.75 / $592.22	Facility		$261.72	$364.75	$592.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $260.54 / $260.54	Professional		$91.81	$260.54	$260.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $226.70 / $285.85	Professional		$125.25	$226.70	$285.85