Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.82 / $377.89 / $1,265.01	Facility		$357.82	$377.89	$1,265.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $453.02 / $548.13	Professional		$187.93	$453.02	$548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.83 / $783.83 / $783.83	Facility		$783.83	$783.83	$783.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $948.90	Professional		$294.69	$294.69	$948.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.27 / $581.34 / $913.53	Facility		$276.27	$581.34	$913.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.34 / $783.83 / $1,370.29	Facility		$581.34	$783.83	$1,370.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $319.70	Professional		$294.69	$294.69	$319.70
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $442.04 / $594.45	Professional		$294.69	$442.04	$594.45