Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.05 / $853.52 / $1,450.15	Facility		$183.05	$853.52	$1,450.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.33 / $414.33 / $795.26	Professional		$414.33	$414.33	$795.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.66 / $341.66 / $341.66	Facility		$341.66	$341.66	$341.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.49 / $592.49 / $592.49	Facility		$592.49	$592.49	$592.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $123.68 / $398.25	Professional		$123.68	$123.68	$398.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.88 / $476.17 / $797.79	Facility		$432.88	$476.17	$797.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $278.27 / $278.27	Professional		$111.31	$278.27	$278.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.66 / $476.17 / $797.79	Facility		$341.66	$476.17	$797.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $340.12 / $340.12	Professional		$123.68	$340.12	$340.12
United Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $247.36 / $373.17	Professional		$123.68	$247.36	$373.17