Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,318.26 / $1,318.26	Facility		$229.09	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $380.19	Professional		$204.17	$213.80	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $512.86	Facility		$204.17	$213.80	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $660.69	Professional		$204.17	$218.78	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Facility		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $281.84	Professional		$194.98	$257.04	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $245.47	Professional		$60.26	$204.17	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $102.33	Facility		$0.21	$0.21	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $616.60	Professional		$288.40	$309.03	$616.60