Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $1,584.89	Facility		$537.03	$562.34	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $457.09	Professional		$109.65	$125.89	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $194.98	Professional		$100.00	$154.88	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $537.03	Facility		$100.00	$134.90	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $549.54	Professional		$134.90	$134.90	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $524.81 / $870.96	Facility		$478.63	$524.81	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $309.03	Professional		$251.19	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $251.19	Facility		$100.00	$123.03	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $173.78	Professional		$100.00	$134.90	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $269.15 / $407.38	Professional		$43.65	$269.15	$407.38