Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.91 / $726.80 / $1,251.83	Facility		$217.91	$726.80	$1,251.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $172.10 / $616.00	Professional		$105.81	$172.10	$616.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.10 / $246.10 / $246.10	Facility		$246.10	$246.10	$246.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $103.41 / $147.72	Professional		$103.41	$103.41	$147.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $161.00 / $253.00	Facility		$161.00	$161.00	$253.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $230.00 / $379.50	Facility		$161.00	$230.00	$379.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $108.36 / $147.72	Professional		$103.41	$108.36	$147.72
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $159.36 / $214.31	Professional		$106.24	$159.36	$214.31