Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,318.26 / $2,290.87	Facility		$275.42	$1,318.26	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $616.60	Professional		$151.36	$177.83	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $208.93	Professional		$93.33	$93.33	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $831.76	Facility		$186.21	$186.21	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $602.56	Professional		$177.83	$186.21	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $691.83 / $741.31	Facility		$186.21	$691.83	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $891.25	Facility		$147.91	$512.86	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $208.93	Professional		$93.33	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $371.54 / $562.34	Professional		$112.20	$371.54	$562.34