Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,445.44 / $2,454.71	Facility		$302.00	$1,445.44	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $676.08	Professional		$162.18	$194.98	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $912.01	Facility		$204.17	$204.17	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $645.65	Professional		$194.98	$204.17	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $741.31 / $812.83	Facility		$204.17	$741.31	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $562.34 / $977.24	Facility		$162.18	$562.34	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $181.97	Professional		$102.33	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $407.38 / $616.60	Professional		$120.23	$407.38	$616.60