Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.45 / $1,161.10 / $1,963.64	Facility		$251.45	$1,161.10	$1,963.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.16 / $569.16 / $1,092.46	Professional		$569.16	$569.16	$1,092.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.37 / $469.37 / $469.37	Facility		$469.37	$469.37	$469.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $813.91 / $813.91 / $813.91	Facility		$813.91	$813.91	$813.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $169.90 / $547.08	Professional		$169.90	$169.90	$547.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.36 / $628.63 / $679.60	Facility		$515.36	$628.63	$679.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $382.28 / $382.28	Professional		$152.91	$382.28	$382.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.37 / $610.09 / $813.91	Facility		$469.37	$610.09	$813.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $467.23 / $467.23	Professional		$152.91	$467.23	$467.23
United Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $339.80 / $512.62	Professional		$129.03	$339.80	$512.62