Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.13 / $514.13 / $1,065.20	Facility		$514.13	$514.13	$1,065.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $307.86 / $307.86	Professional		$90.49	$307.86	$307.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $164.31 / $510.96	Professional		$117.58	$164.31	$510.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $307.86 / $307.86	Facility		$128.13	$307.86	$307.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $155.81 / $343.08	Professional		$155.81	$155.81	$343.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.45 / $274.45 / $3,495.87	Facility		$274.45	$274.45	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $299.39 / $553.79	Professional		$188.00	$299.39	$553.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $261.68 / $440.24	Facility		$105.69	$261.68	$440.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $279.44 / $552.20	Professional		$168.75	$279.44	$552.20
United Facility/Professional Professional Modifier Low / Median / High Price $374.82 / $408.76 / $572.26	Professional		$374.82	$408.76	$572.26