Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $676.08 / $1,047.13	Facility		$371.54	$676.08	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $288.40	Professional		$69.18	$79.43	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $87.10 / $512.86	Facility		$42.66	$87.10	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $346.74 / $457.09	Professional		$77.62	$346.74	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $457.09	Facility		$302.00	$426.58	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $194.98	Professional		$144.54	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $158.49	Facility		$42.66	$70.79	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $91.20	Professional		$60.26	$85.11	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $169.82 / $257.04	Professional		$42.66	$169.82	$257.04