Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.01 / $469.73 / $1,660.65	Facility		$253.01	$469.73	$1,660.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $281.70 / $476.32	Professional		$219.14	$281.70	$476.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $476.32 / $666.85	Facility		$258.64	$476.32	$666.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $512.17	Professional		$256.08	$256.08	$512.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.96 / $399.20 / $627.30	Facility		$374.96	$399.20	$627.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $342.17 / $342.17	Professional		$285.14	$342.17	$342.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $476.32 / $666.85	Facility		$256.08	$476.32	$666.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $291.00 / $333.82	Professional		$256.08	$291.00	$333.82
United Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $384.14 / $768.27	Professional		$271.45	$384.14	$768.27