Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $892.52 / $1,516.41	Facility		$191.41	$892.52	$1,516.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.26 / $433.26 / $831.59	Professional		$433.26	$433.26	$831.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.26 / $357.26 / $357.26	Facility		$357.26	$357.26	$357.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $148.68 / $185.85	Professional		$51.73	$148.68	$185.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $94.19 / $94.19	Facility		$94.19	$94.19	$94.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $129.33 / $517.32	Professional		$129.33	$129.33	$517.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.64 / $478.52 / $517.32	Facility		$427.64	$478.52	$517.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $290.99 / $290.99	Professional		$116.40	$290.99	$290.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $94.19 / $427.64	Facility		$94.19	$94.19	$427.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $101.46 / $129.33	Professional		$101.46	$101.46	$129.33
United Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $258.66 / $390.22	Professional		$49.32	$258.66	$390.22