Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $298.23 / $1,054.33	Facility		$165.35	$298.23	$1,054.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $308.45 / $377.58	Professional		$163.57	$308.45	$377.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.08 / $441.08 / $441.08	Facility		$441.08	$441.08	$441.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $533.97	Professional		$165.83	$165.83	$533.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.42 / $259.06 / $407.09	Facility		$235.42	$259.06	$407.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.18 / $360.34 / $594.55	Facility		$231.18	$360.34	$594.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $179.91	Professional		$165.83	$165.83	$179.91
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $248.75 / $334.51	Professional		$165.83	$248.75	$334.51