Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $537.03 / $1,548.82	Facility		$138.04	$537.03	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $389.05	Professional		$162.18	$181.97	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $512.86	Professional		$154.88	$251.19	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $446.68	Facility		$162.18	$251.19	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $912.01	Professional		$398.11	$501.19	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $977.24	Professional		$446.68	$676.08	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $446.68	Facility		$165.96	$269.15	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $512.86	Professional		$154.88	$263.03	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $616.60	Professional		$162.18	$416.87	$616.60