Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,412.54	Facility		$489.78	$891.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $380.19	Professional		$91.20	$107.15	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $812.83	Facility		$114.82	$114.82	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $346.74 / $371.54	Professional		$102.33	$346.74	$371.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $457.09	Facility		$398.11	$426.58	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $316.23 / $549.54	Facility		$91.20	$316.23	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $114.82	Professional		$60.26	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $229.09 / $346.74	Professional		$69.18	$229.09	$346.74