Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.89 / $843.45 / $1,433.04	Facility		$180.89	$843.45	$1,433.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.44 / $409.44 / $785.88	Professional		$409.44	$409.44	$785.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.62 / $337.62 / $337.62	Facility		$337.62	$337.62	$337.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $76.05 / $76.05	Professional		$76.05	$76.05	$76.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.50 / $585.50 / $585.50	Facility		$585.50	$585.50	$585.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $393.55	Professional		$122.22	$122.22	$393.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.77 / $452.21 / $488.88	Facility		$427.77	$452.21	$488.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $275.00 / $275.00	Professional		$110.00	$275.00	$275.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.62 / $452.21 / $585.50	Facility		$337.62	$452.21	$585.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $336.11 / $336.11	Professional		$76.05	$336.11	$336.11
United Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $301.77 / $368.76	Professional		$150.88	$301.77	$368.76