Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.77 / $1,298.42 / $2,028.78	Facility		$718.77	$1,298.42	$2,028.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.49 / $1,298.42 / $1,999.79	Professional		$1,182.49	$1,298.42	$1,999.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $478.00 / $478.00	Facility		$478.00	$478.00	$478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $248.83	Professional		$199.07	$199.07	$248.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $89.98 / $164.38	Facility		$89.98	$89.98	$164.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $692.12	Professional		$173.03	$173.03	$692.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.21 / $640.21 / $692.12	Facility		$640.21	$640.21	$692.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $259.55 / $692.12	Professional		$155.72	$259.55	$692.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $89.98 / $198.98	Facility		$89.98	$89.98	$198.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $181.68 / $692.12	Professional		$164.38	$181.68	$692.12
United Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $346.06 / $522.07	Professional		$77.86	$346.06	$522.07