Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.79 / $1,225.34 / $2,081.91	Facility		$262.79	$1,225.34	$2,081.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.83 / $594.83 / $1,141.71	Professional		$594.83	$594.83	$1,141.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.49 / $490.49 / $490.49	Facility		$490.49	$490.49	$490.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $204.02 / $255.03	Professional		$90.03	$204.02	$255.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $88.78	Facility		$88.78	$88.78	$88.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $710.24	Professional		$177.56	$177.56	$710.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.46 / $656.97 / $710.24	Facility		$621.46	$656.97	$710.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $268.20 / $710.24	Professional		$159.80	$268.20	$710.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $88.78	Facility		$88.78	$88.78	$88.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $177.56 / $488.29	Professional		$155.22	$177.56	$488.29
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $355.12 / $535.74	Professional		$79.90	$355.12	$535.74