Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $2,137.96	Facility		$741.31	$1,348.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $575.44	Professional		$141.25	$162.18	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $575.44	Facility		$89.13	$128.82	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $524.81 / $575.44	Professional		$173.78	$524.81	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $691.83	Facility		$645.65	$660.69	$691.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $389.05	Professional		$257.04	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $199.53	Facility		$89.13	$89.13	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Professional		$165.96	$165.96	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $346.74 / $524.81	Professional		$77.62	$346.74	$524.81