Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.51 / $753.12 / $1,279.56	Facility		$161.51	$753.12	$1,279.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $365.59 / $701.71	Professional		$365.59	$365.59	$701.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Facility		$301.45	$301.45	$301.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.79 / $522.79 / $522.79	Facility		$522.79	$522.79	$522.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $109.13 / $351.40	Professional		$109.13	$109.13	$351.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.96 / $420.15 / $703.94	Facility		$381.96	$420.15	$703.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $245.54 / $245.54	Professional		$98.22	$245.54	$245.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.45 / $420.15 / $703.94	Facility		$301.45	$420.15	$703.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $300.11 / $300.11	Professional		$109.13	$300.11	$300.11
United Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $269.45 / $329.27	Professional		$148.88	$269.45	$329.27