Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $1,210.44 / $2,056.57	Facility		$259.58	$1,210.44	$2,056.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.59 / $587.59 / $1,127.82	Professional		$587.59	$587.59	$1,127.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.54 / $484.54 / $484.54	Facility		$484.54	$484.54	$484.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $88.40 / $198.96	Professional		$88.40	$88.40	$198.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.25 / $840.25 / $840.25	Facility		$840.25	$840.25	$840.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $564.79	Professional		$175.40	$175.40	$564.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.90 / $648.98 / $701.60	Facility		$613.90	$648.98	$701.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $394.65 / $394.65	Professional		$157.86	$394.65	$394.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.54 / $648.98 / $840.25	Facility		$484.54	$648.98	$840.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $198.96 / $482.35	Professional		$88.40	$198.96	$482.35
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $350.80 / $529.22	Professional		$175.40	$350.80	$529.22