Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $933.25 / $1,584.89	Facility		$190.55	$933.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $436.52	Professional		$104.71	$125.89	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $147.91 / $186.21	Professional		$51.29	$147.91	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Facility		$93.33	$93.33	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $512.86	Professional		$128.82	$128.82	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $478.63 / $512.86	Facility		$426.58	$478.63	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $288.40	Professional		$162.18	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $128.82	Professional		$51.29	$117.49	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $257.04 / $389.05	Professional		$48.98	$257.04	$389.05