Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,412.54	Facility		$489.78	$891.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $380.19	Professional		$91.20	$107.15	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $512.86	Facility		$58.88	$114.82	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $371.54	Professional		$114.82	$114.82	$371.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $457.09	Facility		$426.58	$436.52	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $257.04	Professional		$169.82	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $131.83	Facility		$58.88	$58.88	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $114.82	Professional		$109.65	$109.65	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $229.09 / $346.74	Professional		$51.29	$229.09	$346.74