Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,174.90 / $1,174.90	Facility		$194.98	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $338.84	Professional		$181.97	$181.97	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $588.84	Professional		$181.97	$181.97	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $263.03	Facility		$147.91	$234.42	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $478.63	Facility		$338.84	$338.84	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $177.83 / $194.98	Professional		$60.26	$177.83	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $741.31	Professional		$181.97	$269.15	$741.31