Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $977.24 / $1,659.59	Facility		$204.17	$977.24	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $457.09	Professional		$109.65	$131.83	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $154.88	Professional		$69.18	$69.18	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $616.60	Facility		$138.04	$138.04	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $436.52	Professional		$131.83	$138.04	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $501.19 / $549.54	Facility		$138.04	$501.19	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $380.19 / $660.69	Facility		$109.65	$380.19	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $154.88	Professional		$69.18	$123.03	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $275.42 / $416.87	Professional		$81.28	$275.42	$416.87