Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $141.25	Professional		$85.11	$87.10	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $489.78	Facility		$141.25	$199.53	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $141.25	Professional		$60.26	$83.18	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $229.09	Facility		$144.54	$144.54	$229.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $199.53	Facility		$141.25	$141.25	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $114.82	Professional		$60.26	$81.28	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $630.96	Professional		$87.10	$128.82	$630.96