Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,380.38 / $1,380.38	Facility		$229.09	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Professional		$208.93	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $524.81	Facility		$208.93	$251.19	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $524.81	Professional		$208.93	$257.04	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $537.03	Facility		$208.93	$338.84	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $295.12	Professional		$245.47	$295.12	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $389.05	Facility		$208.93	$275.42	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $275.42	Professional		$213.80	$213.80	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $588.84	Professional		$208.93	$316.23	$588.84