Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.49 / $1,027.35 / $1,737.45	Facility		$222.49	$1,027.35	$1,737.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $503.61 / $503.61	Professional		$503.61	$503.61	$503.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.27 / $415.27 / $415.27	Facility		$415.27	$415.27	$415.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $78.23 / $165.59	Professional		$78.23	$78.23	$165.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.16 / $720.16 / $720.16	Facility		$720.16	$720.16	$720.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $484.06	Professional		$150.33	$150.33	$484.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.16 / $556.22 / $601.32	Facility		$526.16	$556.22	$601.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $338.24 / $338.24	Professional		$135.30	$338.24	$338.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.27 / $556.22 / $720.16	Facility		$415.27	$556.22	$720.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $413.41 / $413.41	Professional		$78.23	$413.41	$413.41
United Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $300.66 / $453.58	Professional		$150.33	$300.66	$453.58