Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.65 / $1,024.17 / $1,740.10	Facility		$219.65	$1,024.17	$1,740.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $497.17 / $954.28	Professional		$497.17	$497.17	$954.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $410.00 / $410.00	Facility		$410.00	$410.00	$410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $170.57 / $213.21	Professional		$93.48	$170.57	$213.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.59 / $160.59 / $160.59	Facility		$160.59	$160.59	$160.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $593.64	Professional		$148.41	$148.41	$593.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.44 / $571.38 / $957.29	Facility		$519.44	$571.38	$957.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $333.92 / $333.92	Professional		$133.57	$333.92	$333.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.59 / $160.59 / $519.44	Facility		$160.59	$160.59	$519.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $191.86	Professional		$148.41	$148.41	$191.86
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $296.82 / $447.78	Professional		$93.33	$296.82	$447.78