Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $317.73 / $1,123.29	Facility		$166.19	$317.73	$1,123.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $190.33 / $321.83	Professional		$166.19	$190.33	$321.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $321.83 / $450.58	Facility		$174.76	$321.83	$450.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $346.06	Professional		$173.03	$173.03	$346.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.13 / $289.87 / $455.51	Facility		$250.13	$289.87	$455.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $248.46 / $248.46	Professional		$207.05	$248.46	$248.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $321.83 / $450.58	Facility		$173.03	$321.83	$450.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $191.20 / $237.30	Professional		$173.03	$191.20	$237.30
United Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $259.55 / $519.09	Professional		$183.41	$259.55	$519.09