Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.75 / $380.46 / $1,345.05	Facility		$218.75	$380.46	$1,345.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $384.26 / $481.69	Professional		$208.68	$384.26	$481.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.49 / $549.49 / $549.49	Facility		$549.49	$549.49	$549.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $665.22	Professional		$206.59	$206.59	$665.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.37 / $324.04 / $509.21	Facility		$304.37	$324.04	$509.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.39 / $462.92 / $763.82	Facility		$304.39	$462.92	$763.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $224.14	Professional		$206.59	$206.59	$224.14
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $309.89 / $416.73	Professional		$206.59	$309.89	$416.73