Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.47 / $860.13 / $1,461.39	Facility		$184.47	$860.13	$1,461.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.54 / $417.54 / $801.44	Professional		$417.54	$417.54	$801.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.34 / $344.34 / $344.34	Facility		$344.34	$344.34	$344.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $93.56	Professional		$42.11	$42.11	$93.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.08 / $597.08 / $597.08	Facility		$597.08	$597.08	$597.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $124.64 / $401.34	Professional		$124.64	$124.64	$401.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.36 / $461.17 / $498.56	Facility		$332.36	$461.17	$498.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $280.44 / $280.44	Professional		$112.18	$280.44	$280.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.36 / $461.17 / $597.08	Facility		$332.36	$461.17	$597.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $112.18 / $342.76	Professional		$42.11	$112.18	$342.76
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $249.28 / $376.07	Professional		$87.98	$249.28	$376.07