Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $391.05 / $1,382.50	Facility		$228.92	$391.05	$1,382.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $214.49 / $397.74	Professional		$213.84	$214.49	$397.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $568.77 / $568.77	Facility		$568.77	$568.77	$568.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $688.56	Professional		$213.84	$213.84	$688.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.82 / $333.82 / $524.57	Facility		$316.82	$333.82	$524.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.54 / $476.88 / $786.85	Facility		$314.54	$476.88	$786.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $232.00	Professional		$213.84	$213.84	$232.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $320.76 / $431.36	Professional		$213.84	$320.76	$431.36