Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.70 / $928.47 / $1,570.20	Facility		$542.70	$928.47	$1,570.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $125.04 / $873.58	Professional		$72.01	$125.04	$873.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.32 / $375.32 / $375.32	Facility		$375.32	$375.32	$375.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $156.11 / $195.14	Professional		$99.65	$156.11	$195.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $115.93 / $188.93	Facility		$98.95	$115.93	$188.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $135.86 / $543.44	Professional		$135.86	$135.86	$543.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.51 / $523.05 / $876.38	Facility		$475.51	$523.05	$876.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $279.56 / $670.92	Professional		$122.27	$279.56	$670.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $121.65 / $264.93	Facility		$98.95	$121.65	$264.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $175.65 / $373.62	Professional		$135.86	$175.65	$373.62
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $271.72 / $335.46	Professional		$43.79	$271.72	$335.46