Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.57 / $704.99 / $1,870.93	Facility		$551.57	$704.99	$1,870.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $542.29 / $1,040.89	Professional		$542.29	$542.29	$1,040.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.19 / $447.19 / $447.19	Facility		$447.19	$447.19	$447.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $185.85 / $232.31	Professional		$49.73	$185.85	$232.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $117.90 / $117.90	Facility		$117.90	$117.90	$117.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $161.88 / $521.25	Professional		$161.88	$161.88	$521.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.56 / $598.96 / $647.52	Facility		$392.56	$598.96	$647.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $364.23 / $364.23	Professional		$145.69	$364.23	$364.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $117.90 / $447.19	Facility		$117.90	$117.90	$447.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $104.08 / $161.88	Professional		$93.14	$104.08	$161.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $323.76 / $488.43	Professional		$45.29	$323.76	$488.43