Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $794.33	Facility		$295.12	$588.84	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $616.60	Professional		$165.96	$218.78	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $416.87	Professional		$190.55	$263.03	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $707.95	Facility		$151.36	$426.58	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $1,023.29	Professional		$302.00	$630.96	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $933.25 / $3,467.37	Facility		$295.12	$933.25	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,000.00	Professional		$309.03	$602.56	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $501.19	Facility		$112.20	$223.87	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $263.03 / $562.34	Professional		$60.26	$263.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $524.81 / $912.01	Professional		$194.98	$524.81	$912.01