Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $600.12 / $1,019.62	Facility		$128.69	$600.12	$1,019.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.32 / $291.32 / $559.15	Professional		$291.32	$291.32	$559.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.21 / $240.21 / $240.21	Facility		$240.21	$240.21	$240.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $99.95 / $124.93	Professional		$60.81	$99.95	$124.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $63.33 / $63.33	Facility		$63.33	$63.33	$63.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $86.96 / $347.84	Professional		$86.96	$86.96	$347.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.36 / $334.80 / $560.88	Facility		$304.36	$334.80	$560.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $195.66 / $195.66	Professional		$78.26	$195.66	$195.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $63.33 / $304.36	Facility		$63.33	$63.33	$304.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $86.96 / $112.41	Professional		$86.96	$86.96	$112.41
United Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $173.92 / $262.38	Professional		$54.66	$173.92	$262.38