Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.01 / $831.22 / $1,405.74	Facility		$180.01	$831.22	$1,405.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $407.46 / $782.08	Professional		$407.46	$407.46	$782.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.01 / $336.01 / $336.01	Facility		$336.01	$336.01	$336.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $84.04 / $186.84	Professional		$84.04	$84.04	$186.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.66 / $582.66 / $582.66	Facility		$582.66	$582.66	$582.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $121.63 / $391.65	Professional		$121.63	$121.63	$391.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.71 / $450.03 / $662.72	Facility		$425.71	$450.03	$662.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $273.67 / $273.67	Professional		$109.47	$273.67	$273.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.01 / $468.28 / $662.72	Facility		$336.01	$468.28	$662.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $186.84 / $334.48	Professional		$84.04	$186.84	$334.48
United Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $300.32 / $366.98	Professional		$165.68	$300.32	$366.98