Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.34 / $858.68 / $1,341.69	Facility		$475.34	$858.68	$1,341.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.01 / $858.68 / $1,322.52	Professional		$782.01	$858.68	$1,322.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.12 / $316.12 / $316.12	Facility		$316.12	$316.12	$316.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $91.54 / $144.18	Facility		$69.00	$91.54	$144.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $457.72	Professional		$114.43	$114.43	$457.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.51 / $423.39 / $457.72	Facility		$400.51	$423.39	$457.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $171.65 / $457.72	Professional		$102.99	$171.65	$457.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $92.69 / $223.14	Facility		$69.00	$92.69	$223.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $114.43 / $314.68	Professional		$108.71	$114.43	$314.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $228.86 / $345.26	Professional		$51.49	$228.86	$345.26