Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.75 / $447.74 / $1,582.91	Facility		$251.75	$447.74	$1,582.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.11 / $453.11 / $558.32	Professional		$453.11	$453.11	$558.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.79 / $255.79 / $255.79	Facility		$255.79	$255.79	$255.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $609.03	Professional		$243.61	$243.61	$609.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $379.58 / $596.49	Facility		$225.04	$379.58	$596.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.04 / $271.13 / $325.36	Professional		$225.04	$271.13	$325.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.79 / $255.79 / $542.26	Facility		$255.79	$255.79	$542.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $264.29 / $298.24	Professional		$243.61	$264.29	$298.24
United Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $730.83	Professional		$365.42	$365.42	$730.83