Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,258.93 / $2,137.96	Facility		$257.04	$1,258.93	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $588.84	Professional		$141.25	$169.82	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $199.53	Professional		$89.13	$89.13	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $794.33	Facility		$173.78	$173.78	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $562.34	Professional		$169.82	$173.78	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $645.65 / $707.95	Facility		$173.78	$645.65	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $489.78 / $831.76	Facility		$141.25	$489.78	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $199.53	Professional		$89.13	$158.49	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $354.81 / $524.81	Professional		$104.71	$354.81	$524.81