Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $618.00 / $857.66	Facility		$163.65	$618.00	$857.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $339.35 / $554.89	Professional		$197.75	$339.35	$554.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $485.27 / $485.27 / $485.27	Facility		$485.27	$485.27	$485.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $587.49	Professional		$182.45	$182.45	$587.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.00 / $288.29 / $453.02	Facility		$278.00	$288.29	$453.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.98 / $411.84 / $679.54	Facility		$285.98	$411.84	$679.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $197.94	Professional		$182.45	$182.45	$197.94
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $273.68 / $368.04	Professional		$182.45	$273.68	$368.04