Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.29 / $643.62 / $1,005.65	Facility		$356.29	$643.62	$1,005.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.15 / $643.62 / $991.29	Professional		$586.15	$643.62	$991.29
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 $42.89 / $70.33 / $103.78	Facility		$42.89	$70.33	$103.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $343.29 / $457.72	Professional		$114.43	$343.29	$457.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $423.39 / $457.72	Facility		$300.20	$423.39	$457.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $142.94 / $381.20	Professional		$77.19	$142.94	$381.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $70.33 / $167.25	Facility		$42.89	$70.33	$167.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $90.54 / $235.87	Professional		$85.77	$90.54	$235.87
United Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $171.54 / $258.79	Professional		$42.89	$171.54	$258.79