Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,737.80 / $1,737.80	Facility		$269.15	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Professional		$269.15	$269.15	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $309.03 / $676.08	Facility		$269.15	$309.03	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $676.08	Professional		$269.15	$323.59	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $645.65	Facility		$269.15	$407.38	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $354.81	Professional		$295.12	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $501.19	Facility		$194.98	$323.59	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $758.58	Professional		$269.15	$398.11	$758.58