Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.95 / $390.74 / $14,504.76	Facility		$229.95	$390.74	$14,504.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.32 / $378.66 / $539.41	Professional		$214.32	$378.66	$539.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.48 / $541.48 / $541.48	Facility		$541.48	$541.48	$541.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $655.53	Professional		$203.58	$203.58	$655.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $334.74 / $526.02	Facility		$329.62	$334.74	$526.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.26 / $541.48 / $896.12	Facility		$325.26	$541.48	$896.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $220.87	Professional		$203.58	$203.58	$220.87
United Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $305.37 / $610.74	Professional		$226.63	$305.37	$610.74