Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.34 / $840.61 / $1,313.44	Facility		$465.34	$840.61	$1,313.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $840.61 / $1,294.68	Professional		$765.55	$840.61	$1,294.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.44 / $309.44 / $309.44	Facility		$309.44	$309.44	$309.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $160.55	Professional		$128.44	$128.44	$160.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $85.14 / $134.41	Facility		$58.25	$85.14	$134.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $448.08	Professional		$112.02	$112.02	$448.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.47 / $414.47 / $448.08	Facility		$414.47	$414.47	$448.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $168.03 / $448.08	Professional		$100.82	$168.03	$448.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.44 / $414.47 / $448.08	Facility		$309.44	$414.47	$448.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $112.02 / $308.06	Professional		$106.42	$112.02	$308.06
United Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $224.04 / $224.04	Professional		$50.41	$224.04	$224.04