Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.79 / $1,444.51 / $2,454.27	Facility		$309.79	$1,444.51	$2,454.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.22 / $701.22 / $1,345.93	Professional		$701.22	$701.22	$1,345.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.26 / $578.26 / $578.26	Facility		$578.26	$578.26	$578.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $240.37 / $300.45	Professional		$89.12	$240.37	$300.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $209.32 / $837.28	Professional		$209.32	$209.32	$837.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.04 / $774.48 / $851.21	Facility		$719.04	$774.48	$851.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $470.97 / $470.97	Professional		$188.39	$470.97	$470.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $719.04	Facility		$104.66	$104.66	$719.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $188.39 / $209.32	Professional		$170.60	$188.39	$209.32
United Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $418.64 / $631.55	Professional		$82.97	$418.64	$631.55