Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $710.80 / $1,207.67	Facility		$152.44	$710.80	$1,207.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.05 / $345.05 / $662.29	Professional		$345.05	$345.05	$662.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.54 / $284.54 / $284.54	Facility		$284.54	$284.54	$284.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $118.12 / $147.65	Professional		$67.52	$118.12	$147.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $111.45 / $111.45	Facility		$111.45	$111.45	$111.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $412.00	Professional		$103.00	$103.00	$412.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.50 / $396.55 / $664.50	Facility		$360.50	$396.55	$664.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $231.75 / $231.75	Professional		$92.70	$231.75	$231.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $111.45 / $360.50	Facility		$111.45	$111.45	$360.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.01 / $133.18	Professional		$103.00	$103.01	$133.18
United Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $206.00 / $310.77	Professional		$64.73	$206.00	$310.77