Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.25 / $399.74 / $1,413.23	Facility		$226.25	$399.74	$1,413.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $238.80 / $403.78	Professional		$198.86	$238.80	$403.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $403.78 / $577.41	Facility		$219.26	$403.78	$577.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $434.18	Professional		$217.09	$217.09	$434.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.16 / $340.37 / $534.86	Facility		$324.16	$340.37	$534.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.12 / $291.74 / $291.74	Professional		$243.12	$291.74	$291.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $403.78 / $577.41	Facility		$217.09	$403.78	$577.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $257.70 / $291.74	Professional		$217.09	$257.70	$291.74
United Facility/Professional Professional Modifier Low / Median / High Price $230.12 / $325.64 / $651.27	Professional		$230.12	$325.64	$651.27