Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $870.96 / $1,380.38	Facility		$478.63	$870.96	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $588.84	Professional		$104.71	$107.15	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $112.20 / $501.19	Facility		$58.88	$112.20	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $363.08	Professional		$112.20	$112.20	$363.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $426.58 / $446.68	Facility		$416.87	$426.58	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $251.19	Professional		$169.82	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $204.17	Facility		$58.88	$85.11	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $112.20	Professional		$107.15	$107.15	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $223.87 / $338.84	Professional		$50.12	$223.87	$338.84