Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.54 / $1,797.72 / $3,054.38	Facility		$385.54	$1,797.72	$3,054.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.54 / $872.68 / $872.68	Professional		$385.54	$872.68	$872.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.65 / $719.65 / $719.65	Facility		$719.65	$719.65	$719.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $299.43 / $374.28	Professional		$299.43	$299.43	$374.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $189.72 / $216.22	Facility		$189.72	$189.72	$216.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $838.81	Professional		$260.50	$260.50	$838.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.75 / $963.85 / $1,042.00	Facility		$911.75	$963.85	$1,042.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $586.13 / $1,042.00	Professional		$234.45	$586.13	$1,042.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $189.72 / $323.02	Facility		$189.72	$189.72	$323.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.48 / $260.50 / $716.38	Professional		$247.48	$260.50	$716.38
United Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $521.00 / $785.98	Professional		$117.23	$521.00	$785.98