Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,949.84	Facility		$691.83	$1,258.93	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $537.03	Professional		$128.82	$151.36	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $724.44	Facility		$83.18	$158.49	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $512.86	Professional		$158.49	$158.49	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $616.60 / $645.65	Facility		$588.84	$616.60	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $363.08	Professional		$239.88	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $181.97	Facility		$83.18	$83.18	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Professional		$151.36	$151.36	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $323.59 / $478.63	Professional		$72.44	$323.59	$478.63