Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.62 / $702.63 / $1,203.32	Facility		$243.62	$702.63	$1,203.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $199.21 / $375.27	Professional		$199.21	$199.21	$375.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $193.87 / $316.33	Professional		$82.78	$193.87	$316.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $113.53 / $284.87	Facility		$113.53	$113.53	$284.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $275.00 / $632.28	Professional		$222.38	$275.00	$632.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.95 / $372.60 / $504.09	Professional		$309.95	$372.60	$504.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $136.24 / $284.87	Facility		$113.53	$136.24	$284.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $284.97 / $476.40	Professional		$115.62	$284.97	$476.40
United Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $245.40 / $529.78	Professional		$146.97	$245.40	$529.78