Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $642.78 / $1,774.09	Facility		$128.94	$642.78	$1,774.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $514.23 / $514.23	Professional		$175.00	$514.23	$514.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.07 / $424.07 / $424.07	Facility		$424.07	$424.07	$424.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $176.76 / $220.96	Professional		$176.76	$176.76	$220.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $159.71 / $159.71	Facility		$159.71	$159.71	$159.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $153.50 / $494.27	Professional		$153.50	$153.50	$494.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.25 / $567.95 / $614.00	Facility		$537.25	$567.95	$614.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $230.25 / $614.00	Professional		$138.15	$230.25	$614.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $159.71 / $175.00	Facility		$159.71	$159.71	$175.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $153.50 / $422.13	Professional		$145.83	$153.50	$422.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $307.00 / $463.14	Professional		$69.08	$307.00	$463.14