Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.81 / $861.72 / $1,464.08	Facility		$184.81	$861.72	$1,464.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.31 / $418.31 / $802.91	Professional		$418.31	$418.31	$802.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.97 / $344.97 / $344.97	Facility		$344.97	$344.97	$344.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $140.84	Professional		$63.35	$63.35	$140.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.17 / $598.17 / $598.17	Facility		$598.17	$598.17	$598.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $124.87 / $402.08	Professional		$112.38	$124.87	$402.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.05 / $462.02 / $499.48	Facility		$437.05	$462.02	$499.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $280.95 / $280.95	Professional		$112.38	$280.95	$280.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.97 / $462.02 / $598.17	Facility		$344.97	$462.02	$598.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $140.84 / $343.39	Professional		$63.35	$140.84	$343.39
United Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $249.74 / $376.76	Professional		$124.87	$249.74	$376.76