Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $1,142.86 / $1,941.76	Facility		$245.10	$1,142.86	$1,941.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $554.79 / $1,064.86	Professional		$554.79	$554.79	$1,064.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.51 / $457.51 / $457.51	Facility		$457.51	$457.51	$457.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $190.39 / $237.99	Professional		$101.28	$190.39	$237.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $165.61 / $662.44	Professional		$165.61	$165.61	$662.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.64 / $637.60 / $871.45	Facility		$579.64	$637.60	$871.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $372.62 / $372.62	Professional		$149.05	$372.62	$372.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $579.64	Facility		$120.62	$120.62	$579.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $165.61 / $174.66	Professional		$149.05	$165.61	$174.66
United Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $331.22 / $499.68	Professional		$84.93	$331.22	$499.68