Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.13 / $243.13 / $859.57	Facility		$243.13	$243.13	$859.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $131.15 / $243.95	Professional		$131.15	$131.15	$243.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.85 / $348.85 / $348.85	Facility		$348.85	$348.85	$348.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $422.34	Professional		$131.16	$131.16	$422.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.62 / $549.50 / $863.50	Facility		$176.62	$549.50	$863.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $549.50 / $1,295.25	Facility		$120.14	$549.50	$1,295.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $142.29	Professional		$131.16	$131.16	$142.29
United Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $196.74 / $393.48	Professional		$146.01	$196.74	$393.48