Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $259.63 / $917.88	Facility		$135.49	$259.63	$917.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $263.38 / $328.71	Professional		$142.41	$263.38	$328.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.63 / $376.63 / $376.63	Facility		$376.63	$376.63	$376.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $455.95	Professional		$141.60	$141.60	$455.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $217.77 / $342.21	Facility		$205.10	$217.77	$342.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.01 / $290.74 / $479.72	Facility		$191.01	$290.74	$479.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $153.63	Professional		$141.60	$141.60	$153.63
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $212.40 / $285.64	Professional		$141.60	$212.40	$285.64