Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.43 / $1,200.26 / $1,875.41	Facility		$664.43	$1,200.26	$1,875.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.08 / $1,200.26 / $1,848.61	Professional		$1,093.08	$1,200.26	$1,848.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.87 / $441.87 / $441.87	Facility		$441.87	$441.87	$441.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $229.73	Professional		$183.79	$183.79	$229.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $83.17 / $151.94	Facility		$83.17	$83.17	$151.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $159.94 / $639.79	Professional		$159.94	$159.94	$639.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.80 / $591.80 / $639.79	Facility		$591.80	$591.80	$639.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $239.92 / $639.79	Professional		$143.96	$239.92	$639.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $83.17 / $183.94	Facility		$83.17	$83.17	$183.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $167.95 / $639.79	Professional		$151.94	$167.95	$639.79
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $319.89 / $482.60	Professional		$71.98	$319.89	$482.60