Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.91 / $629.10 / $1,068.85	Facility		$134.91	$629.10	$1,068.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $305.39 / $586.16	Professional		$305.39	$305.39	$586.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.81 / $251.81 / $251.81	Facility		$251.81	$251.81	$251.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $104.90 / $131.13	Professional		$65.53	$104.90	$131.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $98.64 / $98.64	Facility		$98.64	$98.64	$98.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $91.16 / $364.64	Professional		$91.16	$91.16	$364.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.06 / $350.97 / $588.04	Facility		$319.06	$350.97	$588.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $205.11 / $205.11	Professional		$82.04	$205.11	$205.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $98.64 / $319.06	Facility		$98.64	$98.64	$319.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $91.16 / $117.86	Professional		$91.16	$91.16	$117.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $182.32 / $275.05	Professional		$57.31	$182.32	$275.05