Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.35 / $457.58 / $1,617.70	Facility		$252.35	$457.58	$1,617.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.26 / $273.35 / $462.20	Professional		$216.26	$273.35	$462.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.98 / $462.20 / $647.08	Facility		$250.98	$462.20	$647.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $497.00	Professional		$248.50	$248.50	$497.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.26 / $386.12 / $606.76	Facility		$367.26	$386.12	$606.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.80 / $330.96 / $330.96	Professional		$275.80	$330.96	$330.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $462.20 / $647.08	Facility		$248.50	$462.20	$647.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $286.62 / $324.47	Professional		$248.50	$286.62	$324.47
United Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $372.75 / $745.50	Professional		$263.41	$372.75	$745.50