Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $309.58 / $1,094.52	Facility		$189.32	$309.58	$1,094.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $182.85 / $391.96	Professional		$164.59	$182.85	$391.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.77 / $437.77 / $437.77	Facility		$437.77	$437.77	$437.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $529.98	Professional		$164.59	$164.59	$529.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.40 / $317.89 / $499.55	Facility		$250.40	$317.89	$499.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.92 / $437.77 / $749.33	Facility		$253.92	$437.77	$749.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $178.56	Professional		$164.59	$164.59	$178.56
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $246.89 / $332.01	Professional		$164.59	$246.89	$332.01