Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $399.11 / $1,410.99	Facility		$217.49	$399.11	$1,410.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $238.59 / $403.44	Professional		$191.42	$238.59	$403.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.07 / $403.44 / $576.91	Facility		$219.07	$403.44	$576.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $433.80	Professional		$216.90	$216.90	$433.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.18 / $340.49 / $535.05	Facility		$320.18	$340.49	$535.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $291.85 / $291.85	Professional		$243.21	$291.85	$291.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $403.44 / $576.91	Facility		$216.90	$403.44	$576.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $247.66 / $284.04	Professional		$216.90	$247.66	$284.04
United Facility/Professional Professional Modifier Low / Median / High Price $229.91 / $325.35 / $650.70	Professional		$229.91	$325.35	$650.70