Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $184.42 / $591.87	Facility		$18.63	$184.42	$591.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $137.41 / $473.50	Professional		$117.31	$137.41	$473.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.97 / $478.97 / $478.97	Facility		$478.97	$478.97	$478.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.89 / $329.89 / $565.45	Professional		$237.89	$329.89	$565.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.70 / $167.89 / $677.11	Facility		$165.70	$167.89	$677.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $226.58 / $299.43	Professional		$100.70	$226.58	$299.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.75 / $642.60 / $1,026.00	Professional		$593.75	$642.60	$1,026.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.50 / $478.97 / $677.11	Facility		$473.50	$478.97	$677.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $714.00 / $1,078.25	Professional		$362.00	$714.00	$1,078.25
United Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $409.70 / $618.08	Professional		$192.07	$409.70	$618.08